Individual
TIMOTHY THEISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA LLC CADC
Contact information
Practice address
122 N LANSING ST, MT PLEASANT, MI 48858-1632
(989) 240-0192
Mailing address
121 N LANSING ST, MT PLEASANT, MI 48858-1631
(989) 944-2950
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451022346
MI
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
About Stedi
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