Individual
MRS. AMANDA MARIE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
11111 HALL RD, UTICA, MI 48317-5711
(586) 275-7790
Mailing address
17926 BISCAYNE DR, MACOMB, MI 48042-2371
(586) 322-2391
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401014916
MI
Other
Enumeration date
06/04/2015
Last updated
10/23/2018
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