MS. JACQUELYN RENEE THOMAS MAC ICAADC NPI 1558055004

NPI Information

  • NPI: 1558055004
  • Provider Name: MS. JACQUELYN RENEE THOMAS, MAC, ICAADC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 108 NORWOOD DR
    COLONIAL HEIGHTS, VA
    ZIP 23834
  • Phone: (676) 789-9480

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NPI Details

MS. Jacquelyn Renee Thomas, MAC, ICAADC is an addiction (substance use disorder) counselor in Colonial Heights, VA. MS. Jacquelyn Renee Thomas, MAC, ICAADC NPI is 1558055004. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

108 NORWOOD DR
COLONIAL HEIGHTS, VA
ZIP 23834-124
Phone: (676) 789-9480
Fax: (678) 623-9777

The enumeration date for this NPI number is 6/7/2023 and was last updated on 6/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)3545VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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