Individual
THOMCY MARY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LLPC
Contact information
Practice address
781 KENMOOR AVE SE STE C, GRAND RAPIDS, MI 49546-8624
(616) 200-4433
Mailing address
3333 BRETON CREEK CT SE, KENTWOOD, MI 49512-9088
(269) 873-3787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022818
MI
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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