Individual
JACQUIE R. THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 CASS ST, SUITES 2A & 2D, TRAVERSE CITY, MI 49684-2589
(231) 346-5216
(231) 943-2590
Mailing address
415 CASS ST, SUITES 2A & 2D, TRAVERSE CITY, MI 49684-2589
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014581
MI
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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