Betty J Thack Ma Pllc
NPI #1235594284 in Madison Heights, Michigan
Provider Information
- NPI Number
- 1235594284
- Entity Type
- Organization
- Organization Name
- Betty J Thack Ma Pllc
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Dec 17, 2015
- Last Updated
- Jan 16, 2016
Practice Location
- Address
- 711 WEST THIRTEEN MILE RD
- Address 2
- BETTY THACK MA LPC
- City
- Madison Heights
- State
- Michigan
- ZIP Code
- 48071
- Phone
- (248) 761-9771
Authorized Official
- Name
- BETTY JANE THACK, MA LPC NCC
- Title
- COUNSELOR/PSYCHOTHERAPIST
- Phone
- (248) 761-9771
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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