Individual
ADAM GERARD THIBODEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLMSW
Contact information
Practice address
120 S MAIN ST STE C, MILFORD, MI 48381-1975
(248) 529-6383
Mailing address
5297 LANCASTER HILLS DR, CLARKSTON, MI 48346-4424
(313) 452-5751
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6851114072
MI
1041C0700X
Clinical Social Worker
6851114072
MI
Other
Enumeration date
04/26/2022
Last updated
05/03/2022
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