Individual
MS. SUSAN MILLER-THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAAT,CAAC
Contact information
Practice address
196 CESAR E CHAVEZ AVE, STE. B-201, PONTIAC, MI 48342-1094
(248) 253-0176
Mailing address
2200 BARBERRY DR, SHELBY TOWNSHIP, MI 48316-0905
(248) 601-1419
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C-00122
MI
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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