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:
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Health care specialties

SpecialtyCodeLicense #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 7 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 1700829900 NPPES
Michigan Other 6401006358 LICENSED COUNSELOR

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