Search › Michigan › 101Y00000X
Thomas Pettus, LLPC, LBS.W
NPI 1861503112 · on the registry since 2006 · sole proprietor
Practice
- Address
- 25153 Lindenwood Ln
Southfield, MI 48033 - Phone
- (313) 702-1459
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Also registered as
- 104100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-06-25
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