Individual
CAL DAVID THORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLC
Contact information
Practice address
5250 NORTHLAND DR NE STE A, GRAND RAPIDS, MI 49525-1096
(616) 361-5001
Mailing address
5250 NORTHLAND DR NE STE A, GRAND RAPIDS, MI 49525-1096
(616) 361-5001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451023663
MI
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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