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:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548462039 | NPPES |
| Michigan | MEDICAID | 1883825 |
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