Provider Demographics
NPI:1770936387
Name:THORINGTON, CATHERINE LOUISE (MAC LPC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LOUISE
Last Name:THORINGTON
Suffix:
Gender:F
Credentials:MAC LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 W MICHIGAN ST STE 12
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-2492
Mailing Address - Country:US
Mailing Address - Phone:989-317-4664
Mailing Address - Fax:
Practice Address - Street 1:304 W MICHIGAN ST STE 12
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-2492
Practice Address - Country:US
Practice Address - Phone:989-317-4664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-19
Last Update Date:2019-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401015535101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional