Organization
BETTY J THACK MA PLLC
Active
Other names
Betty Thack MA LPC
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY JANE THACK MA LPC NCC (COUNSELOR/PSYCHOTHERAPIST)
(248) 761-9771
Entity
Organization
Contact information
Practice address
711 WEST THIRTEEN MILE RD, BETTY THACK MA LPC, MADISON HEIGHTS, MI 48071
(248) 761-9771
Mailing address
711 WEST THIRTEEN MILE RD, BETTY THACK MA LPC, MADISON HEIGHTS, MI 48071
(248) 761-9771
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
6401009796
MI
Other
Enumeration date
12/17/2015
Last updated
01/16/2016
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