MR. JEROME ANTHONY THUES SR.


Address: 18004 Wildemere St, Detroit, MI 48221-2729
Phone: 3138632450

MR. JEROME ANTHONY THUES SR. (NPI# 1225274673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225274673
Entity Type Individual
Full Name MR. JEROME ANTHONY THUES SR.
Credential M.A.LLPC.ED.SPEC
Practice Address 18004 Wildemere St
Detroit
MI 48221-2729
Mailing Address 28388 Franklin Rd
Southfield
MI 48034-5503
Practice Telephone 3138632450
Mailing Telephone 3136156701
Enumeration Date 2009-01-06
Last Update Date 2009-01-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
6401006154 MI Behavioral Health & Social Service Providers

Office Location

Street Address 18004 WILDEMERE ST
City DETROIT
State MI
Zip Code 48221-2729

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City DETROIT
Zip Code 48221

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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