Individual
KARLEE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP
Contact information
Practice address
611 N STATE ST, STANTON, MI 48888-9702
(616) 527-1790
Mailing address
611 N STATE ST, STANTON, MI 48888-9702
(989) 831-7520
(989) 831-7578
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1715928
—
MI
Enumeration date
11/18/2020
Last updated
09/09/2021
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