Individual provider · Type 1 NPI
Susan Ellen Thomas
Mental Health Counselor · Northport, MI
NPI number
1336952852
Active
Practice location
13183 N Knollwood Dr
Northport, MI 49670-9465
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1336952852
Susan Ellen Thomas's National Provider Identifier is 1336952852, issued on Jan 29, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Northport, MI. The record was last updated on Jan 29, 2025.