Individual provider · Type 1 NPI

Betty Jane Thack, MA, LPC

Professional Counselor · Troy, MI

NPI number 1639434111 Active

Practice location

1787 W Big Beaver Rd, Suite 170
Troy, MI 48084-3548

Mailing address

1719 Woodgate Dr
Troy, MI 48083-5526

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401009796 (MI)

Professional Counselor: Definition to come...

6 other providers at this address

Other professional counselor providers in Troy

See all in Troy →

About NPI 1639434111

Betty Jane Thack, MA, LPC's National Provider Identifier is 1639434111, issued on Jul 10, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Troy, MI. The record was last updated on Jul 11, 2012.