Individual
MS. CHARISSE RENEE THORPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 LINCOLN BLVD, DEARBORN HEIGHTS, MI 48125-2570
(313) 633-6330
Mailing address
PO BOX 2372, BELLEVILLE, MI 48112-2372
(313) 895-6834
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401012048
MI
101YP2500X
Professional Counselor
6401012048
MI
Other
Enumeration date
12/02/2009
Last updated
08/06/2019
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