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KEONDRE DEJAWN THOMAS
NPI 1407400856
Counselor - Addiction (Substance Use Disorder) in Fresno, CA

Active since July 24, 2019
2772 S MARTIN LUTHER KING BLVD, FRESNO, CA 93727(559) 265-4800 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Keondre Dejawn Thomas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEONDRE DEJAWN THOMAS (NPI 1407400856) is an individual addiction (substance use disorder) provider in Fresno, California and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1407400856
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameKEONDRE DEJAWN THOMAS
Location Address2772 S MARTIN LUTHER KING BLVDFresno, CA 93727
Mailing Address2772 S Martin Luther King BlvdFresno, CA 93706
Phone(559) 265-4800
Sole ProprietorNo
Enumeration DateJuly 24, 2019
✔ NPI 1407400856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2772 S MARTIN LUTHER KING BLVD, Fresno, CA 93727
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keondre Thomas's NPI number?

The NPI number for Keondre Thomas is 1407400856. It was assigned to this individual provider in the NPPES registry on July 24, 2019.

Where is Keondre Thomas located?

Keondre Thomas practices at 2772 S Martin Luther King Blvd, Fresno, CA 93727. The listed phone number is (559) 265-4800.

What is Keondre Thomas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Keondre Thomas was last updated on July 24, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.