Individual
MR. KEITH THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 S WASHINGTON RD, SAGINAW, MI 48601-4958
(989) 755-1072
(989) 755-1401
Mailing address
1261 TITTABAWASSEE RD APT F, SAGINAW, MI 48604-1063
(313) 671-3588
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
6401224031
MI
Other
Enumeration date
09/15/2016
Last updated
01/14/2025
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