Individual
MRS. CARRIE CORLEW-THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CADC-M, QMHP
Contact information
Practice address
209 E WASHINGTON AVE STE 330, JACKSON, MI 49201-2399
(810) 515-5269
Mailing address
13035 N BRAY RD, CLIO, MI 48420-9111
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401011318
MI
101YA0400X
Addiction (Substance Use Disorder) Counselor
1-04516
MI
101YP2500X
Professional Counselor
6401011318
MI
Other
Enumeration date
05/13/2009
Last updated
07/31/2025
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