Individual
MR. ALAN JACOB THAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1777 AXTELL DR, #100, TROY, MI 48084-4404
(248) 613-5377
Mailing address
508 E HUDSON AVE, ROYAL OAK, MI 48067-3350
(414) 336-8997
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301016758
MI
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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