Individual
DEANGELO THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1136 CARPENTER DR, PONTIAC, MI 48340-3313
(248) 818-1189
Mailing address
1136 CARPENTER DR, PONTIAC, MI 48340-3313
(248) 818-1189
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
AZ
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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