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Mr. Jerome Anthony Thues SR., MALLPCEDSPEC
Mental Health Counselor in Detroit, Michigan
NPI 1225274673

Jerome Anthony Thues SR. is a Mental Health Counselor based in Southfield, MI and is specialized in Mental Health. Jerome Anthony Thues SR. practices in Detroit, MI and has the professional credentials of MALLPCEDSPEC. The NPI Number for Jerome Anthony Thues SR. is 1225274673 and holds a License No. 6401006154 (Michigan).

The current practice location address for Jerome Anthony Thues SR. is 18004 Wildemere St, Detroit, MI and can be reached out via phone at 313-863-2450.

Location: 18004 Wildemere St, Detroit, MI, 48034-5503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225274673
Provider Name
Jerome Anthony Thues SR.
Credential
MALLPCEDSPEC
Provider Entity Type
Individual
Gender
Male
Address
18004 Wildemere St, Detroit, MI, 48034-5503
Phone Number
313-863-2450
Fax Number
Provider Enumeration Date
01/06/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
18004 Wildemere St
City
Detroit
State
Michigan
Zip
48221-2729
Phone Number
313-863-2450
Fax Number
person
Provider Business Mailing Address Details
Address
18004 Wildemere St
City
Detroit
State
Michigan
Zip
48221-2729
Phone Number
313-863-2450
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6401006154 (Michigan)
Definition
Definition to come...
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