Raven Thomas
NPI #1255900254 in Madison Heights, Michigan
Provider Information
- NPI Number
- 1255900254
- Entity Type
- Individual
- Name
- Raven Thomas
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jun 23, 2021
- Last Updated
- Jun 23, 2021
Practice Location
- Address
- 28303 DEQUINDRE RD STE 100
- City
- Madison Heights
- State
- Michigan
- ZIP Code
- 48071-3040
- Phone
- (248) 658-1116
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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