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Individual

MARY THORNSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
500 CASCADE WEST PKWY SE, GRAND RAPIDS, MI 49546-2164
(616) 502-3480
Mailing address
17307 FRANKLIN AVE, SPRING LAKE, MI 49456-1896
(616) 502-3480

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6401018817
MI
101YP2500X
Professional Counselor
Primary
6401018817
MI

Other

Enumeration date
12/03/2020
Last updated
11/06/2025
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