Boudreau-Thomas, Steffanie Lyn

Boudreau-Thomas, Steffanie Lyn is an individual health care provider with primary practice located at 114 Orchard Lake Rd , Pontiac MI 48341-2244. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Boudreau-Thomas, Steffanie Lyn can be contacted via phone (248) 858-7766.

Contact Information

Primary practice address
114 Orchard Lake Rd Pontiac MI 48341-2244
Phone: (248) 858-7766
Fax: (248) 858-7201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6401008808 Michigan
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 4101006290 Michigan

Profile Details

NPI number 1548462039
LBN Legal business name Boudreau-Thomas, Steffanie Lyn
Credentials MA, LPC, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548462039 NPPES
Michigan MEDICAID 1883825

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