Provider Demographics
NPI:1801509773
Name:THOMAS, CHAMARA D (LMFT-A)
Entity type:Individual
Prefix:
First Name:CHAMARA
Middle Name:D
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 BLAIR FIELD LN
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545-8690
Mailing Address - Country:US
Mailing Address - Phone:314-503-9219
Mailing Address - Fax:
Practice Address - Street 1:1015 BLAIR FIELD LN
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545-8690
Practice Address - Country:US
Practice Address - Phone:314-503-9219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist