Individual
TYMATHIE DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4287 FIVE OAKS DR, LANSING, MI 48911-4214
(517) 882-4000
Mailing address
5208 W SAGINAW HWY PO BOX #81096, LANSING, MI 48917
(317) 643-1014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
11/16/2020
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