Marshall, Michael Thomas
Marshall, Michael Thomas is an individual health care provider with primary practice located at 205 N East Ave , Jackson MI 49201-1753. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Marshall, Michael Thomas can be contacted via phone (517) 789-5971.Contact Information
Primary practice address
205 N East Ave
Jackson MI 49201-1753
Phone: (517) 789-5971
Fax: (517) 789-5718
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 6401006358 | Michigan |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6401006358 | Michigan |
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 6802059251 | Michigan |
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 6401006358 | Michigan |
Profile Details
NPI number | 1700829900 |
---|---|
LBN Legal business name | Marshall, Michael Thomas |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 14th, 2006 |
Last updated | Apr 24th, 2019 - about 5 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 | 1700829900 | NPPES |
Michigan | Other | 6401006358 | LICENSED COUNSELOR |
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