Organization
INTENTIONAL GROWTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARNIE SUE THOMAS LPC (MANAGING MEMBER)
(269) 447-1211
Entity
Organization
Contact information
Practice address
5360 HOLIDAY TER, SUITE 18, KALAMAZOO, MI 49009-2126
(269) 760-6236
Mailing address
5360 HOLIDAY TER, SUITE 18, KALAMAZOO, MI 49009-2126
(269) 447-1211
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401012521
MI
Other
Enumeration date
02/28/2017
Last updated
09/20/2017
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