Individual
CARRIE CAMILLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
41 WASHINGTON AVE STE 368, GRAND HAVEN, MI 49417-1378
(616) 690-6946
Mailing address
41 WASHINGTON AVE STE 368, GRAND HAVEN, MI 49417-1378
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401008270
MI
Other
Enumeration date
07/28/2019
Last updated
01/08/2020
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