Jacquie R. Thomas

NPI #1093257677 in Traverse City, Michigan

Provider Information

NPI Number: 1093257677
Entity Type: Individual
Name: Jacquie R. Thomas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Nov 14, 2016
Last Updated: Nov 14, 2016

Practice Location

Address: 415 CASS ST
Address 2: SUITES 2A & 2D
City: Traverse City
State: Michigan
ZIP Code: 49684-2589
Phone: (231) 346-5216

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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