Individual
MATTHEW THATCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
333 W WESTERN AVE STE 5, MUSKEGON, MI 49440
(616) 202-2138
Mailing address
1514 WEALTHY ST SE STE 242, GRAND RAPIDS, MI 49506-2755
(616) 202-2138
(616) 228-8990
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YMO800X
IL
Other
Enumeration date
09/20/2011
Last updated
02/25/2022
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