Individual
MR. KARLIN JAMES TICHENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
138 SERVICE RD, EAST LANSING, MI 48824-1376
(517) 432-2272
Mailing address
836 SANDLYN DR, LANSING, MI 48910-5660
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4101006530
MI
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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