Most Relevant Information
Provider Data
| NPI Number: | 1003245978 |
| Provider Name: | CARLENE THOMAS MS ED, CRC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 00115429 |
Most Important Dates
| Enumeration Date: | 11/01/2013 |
| Last Updated: | 11/01/2013 |
Provider Practice Location
267 PORT RICHMOND AVE
STATEN ISLAND
NY
103021704
Practice Location Phone/Fax
| Phone: | 7189818117 |
| Fax: |
Provider Mailing Location
267 PORT RICHMOND AVE
STATEN ISLAND
NY
103021704
Provider Mailing Phone/Fax
| Phone: | 7189818117 |
| Fax: |