Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YP1600X | Pastoral Counselor | 35001487A | IN |
NPI | 1275674046 |
---|---|
Provider Name | Mrs. Christina Joan Thomas |
First Address | Indianapolis, IN 46220-1671 |
Second Address | Indianapolis, IN 46220-1671 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
268352 | (02) | IN |
THOMA-0029 | (02) | IN |
THOMCHRI | (02) | IN |