Most Relevant Information
Provider Data
| NPI Number: | 1003633017 |
| Provider Name: | RANDAL LYNN THOMAS MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | SWC0000001258 |
Most Important Dates
| Enumeration Date: | 09/21/2024 |
| Last Updated: | 09/21/2024 |
Provider Practice Location
4440 BARNES RD
COLORADO SPRINGS
CO
809171564
Practice Location Phone/Fax
| Phone: | 7193452424 |
| Fax: |
Provider Mailing Location
8165 TULIP TREE CT
COLORADO SPRINGS
CO
809205727
Provider Mailing Phone/Fax
| Phone: | 7193228517 |
| Fax: |