Individual
TERRY MICHAEL THORSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
6515 S RURAL RD STE 101, TEMPE, AZ 85283-3880
(480) 656-0500
Mailing address
6515 S RURAL RD STE 101, TEMPE, AZ 85283-3880
(480) 656-0500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-16263
AZ
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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