Individual
DR. THOMAS EDWARD FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, MA, MFA, CHT
Contact information
Practice address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(989) 971-9445
Mailing address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(989) 971-9445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401007638
MI
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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