Individual
MRS. SAMANTHA LEIGH THELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW, CAADC
Contact information
Practice address
575 S MAIN ST STE 6, PLYMOUTH, MI 48170-1778
(734) 451-7800
Mailing address
622 E GRAND RIVER, HOWELL, MI 48843
(517) 548-0081
(517) 548-0498
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
11/18/2024
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