Individual
MRS. VERONICA THELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS/LLMFT
Contact information
Practice address
5031 PARK LAKE RD, EAST LANSING, MI 48823-3835
(517) 332-0811
(517) 332-4452
Mailing address
608 W WALKER ST, SAINT JOHNS, MI 48879-1463
(989) 292-1676
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101006338
MI
Other
Enumeration date
05/01/2009
Last updated
05/01/2009
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