Provider Demographics
NPI:1811140486
Name:THOMAS, TERRI LEE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:LEE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 N FILBERT AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93619-4287
Mailing Address - Country:US
Mailing Address - Phone:559-297-8735
Mailing Address - Fax:
Practice Address - Street 1:624 WOODWORTH AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-1847
Practice Address - Country:US
Practice Address - Phone:559-297-6060
Practice Address - Fax:559-297-6061
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 46018106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist