Individual
CARLETTA TONYA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
529 MARTIN LUTHER KING BLVD, FLINT, MI 48502-2002
(810) 232-5641
(810) 232-5654
Mailing address
529 MARTIN LUTHER KING BLVD, FLINT, MI 48502-2002
(810) 232-5641
(810) 232-5654
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2595664
—
MI
Enumeration date
07/03/2017
Last updated
07/03/2017
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