Provider Demographics
NPI:1699821900
Name:THOMAS, JO ANN ELIZABETH (LPC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JO ANN
Middle Name:ELIZABETH
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5585 OLD FARM LN
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-2118
Mailing Address - Country:US
Mailing Address - Phone:703-754-4194
Mailing Address - Fax:703-754-9963
Practice Address - Street 1:5585 OLD FARM LN
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109-2118
Practice Address - Country:US
Practice Address - Phone:703-754-4194
Practice Address - Fax:703-754-9963
Is Sole Proprietor?:No
Enumeration Date:2007-01-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001787101YP2500X
VA0717000611106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA154753OtherVALUE OPTIONS
VA258144OtherANTHEM BLUE CROSS BLUE SH
VA7558509OtherAETNA
VA371009OtherALLIANCE