Individual
MR. CHARLES THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
5900 PORTAGE RD, PORTAGE, MI 49002-1774
(269) 718-3366
Mailing address
PO BOX 10, MASON, MI 48854-0010
(517) 676-9788
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401018951
MI
Other
Enumeration date
07/24/2015
Last updated
04/07/2022
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