Individual
MR. THOMAS JOHN THELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.DIV., CADAC II,
Contact information
Practice address
107 LINCOLN ST, WORCESTER, MA 01605-2401
(508) 453-3056
Mailing address
107 LINCOLN ST, WORCESTER, MA 01605-2401
(508) 453-3056
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
150
MA
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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