Individual
MR. JOHN L THOMAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC1
Contact information
Practice address
3139 W HURON ST, WATERFORD, MI 48328-3636
(248) 738-8400
(248) 738-8404
Mailing address
1473 CIRCLE DR, #103, PONTIAC, MI 48340-1510
(248) 364-3879
(248) 738-8404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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