Provider Demographics
NPI:1073398145
Name:THOMAS, TREESJE MONET (MA, LEP)
Entity Type:Individual
Prefix:
First Name:TREESJE
Middle Name:MONET
Last Name:THOMAS
Suffix:
Gender:F
Credentials:MA, LEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16262 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-5972
Mailing Address - Country:US
Mailing Address - Phone:909-721-7731
Mailing Address - Fax:
Practice Address - Street 1:519 E BADILLO ST
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-2803
Practice Address - Country:US
Practice Address - Phone:626-974-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-28
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
102X00000X
CA4114103TB0200X, 103TC1900X, 103TM1800X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
No102X00000XBehavioral Health & Social Service ProvidersPoetry Therapist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities