Individual provider · Type 1 NPI

Raven Thomas

Addiction (Substance Use Disorder) Counselor · Madison Heights, MI

NPI number 1255900254 Active

Practice location

28303 Dequindre Rd Ste 100
Madison Heights, MI 48071-3040

Call (248) 658-1116 Map

Fax (248) 658-1120

Mailing address

12546 Promenade St
Detroit, MI 48213-1416

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1255900254

Raven Thomas's National Provider Identifier is 1255900254, issued on Jun 23, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Madison Heights, MI. The record was last updated on Jun 23, 2021.