Individual
ANDRE THRELKELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2925 RUSSELL, DETROIT, MI 48207
(313) 396-5300
Mailing address
61 S ASTOR ST, PONTIAC, MI 48342-2910
(313) 778-5587
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6802071857
MI
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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