Search › Michigan › 1041C0700X
Thomas Jachulski, LMSW
NPI 1508255001 · on the registry since 2015 · sole proprietor
Practice
- Address
- 3225 N Evergreen Dr Ne
Grand Rapids, MI 49525 - Phone
- (616) 364-1500
- Organisation at this address
- Pine Rest Christian Mental Health Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 29
Additional practice sites
- 1959 Thornapple River Dr Se, Grand Rapids, MI
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan