Individual
REGINA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22150 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 372-6800
Mailing address
19211 GRIGGS ST, DETROIT, MI 48221-3209
(313) 433-6662
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401015872
MI
Other
Enumeration date
01/11/2021
Last updated
01/03/2025
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