Provider Demographics
NPI:1427270735
Name:THOMAS, RICK EUGENE (MS, CATC)
Entity type:Individual
Prefix:MR
First Name:RICK
Middle Name:EUGENE
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MS, CATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 E 1ST ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-6341
Mailing Address - Country:US
Mailing Address - Phone:714-972-3728
Mailing Address - Fax:714-972-3744
Practice Address - Street 1:1540 E 1ST ST
Practice Address - Street 2:SUITE 100
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-6341
Practice Address - Country:US
Practice Address - Phone:714-972-3728
Practice Address - Fax:714-972-3744
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACAADE#020515101YA0400X
CA52625 (INTERN NUMBER106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist