BRIAN THEISEN

CANTON, MI
NPI1386247864
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-11-18
Last Update Date2020-11-18
Business Address
BRIAN THEISEN CCAR
50430 SCHOOL HOUSE RD
CANTON, MI 48187-5910
Phone number: 734-751-0320
Mailing Address
BRIAN THEISEN CCAR
50430 SCHOOL HOUSE RD
CANTON, MI 48187-5910
Phone number: 734-751-0320
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