Individual
MR. JEROME ANTHONY THUES SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.LLPC.ED.SPEC
Contact information
Practice address
18004 WILDEMERE ST, DETROIT, MI 48221-2729
(313) 863-2450
Mailing address
28388 FRANKLIN RD, SOUTHFIELD, MI 48034-5503
(313) 615-6701
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401006154
MI
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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