MICHAEL JOSEPH THEALL

SOUTH BEND, IN
NPI1699810895
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39000651A)
Enumeration Date2007-02-21
Last Update Date2007-07-08
Business Address
-- MICHAEL JOSEPH THEALL LMHC
403 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-283-1107
Mailing Address
-- MICHAEL JOSEPH THEALL LMHC
403 E MADISON ST
SOUTH BEND, IN 46617-2322
Phone number: 574-283-1107
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