Individual provider · Type 1 NPI

Michael Thiel

Professional Counselor · Crystal Lake, IL

NPI number 1154782068 Active

Practice location

145 S Virginia St
Crystal Lake, IL 60014-7226

Call (815) 397-7654 Map

Mailing address

5005 Prairie Ave
Mchenry, IL 60050-3505

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178.012580 (IL)
Mental Health Counselor 101YM0800X178.012580 (IL)

Professional Counselor: Definition to come...

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About NPI 1154782068

Michael Thiel's National Provider Identifier is 1154782068, issued on Mar 19, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Crystal Lake, IL. The record was last updated on Jul 6, 2022.