Michael Thiel Valid NPI
Individual provider · Professional Counselor · Crystal Lake, IL
- NPI
- 1154782068
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 178.012580 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2016-03-19
- Last updated
- 2022-07-06
Practice location
145 S Virginia St
Crystal Lake, IL 60014-7226
(815) 397-7654