Individual
SONJA LEE THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
44444 HAYES RD, CLINTON TOWNSHIP, MI 48038-7600
(313) 516-5194
Mailing address
14993 24 MILE RD, SHELBY TOWNSHIP, MI 48315-2107
(313) 516-5194
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
6401013086
MI
Other
Enumeration date
09/20/2011
Last updated
04/30/2018
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