Provider Demographics
NPI:1750516373
Name:THURIN, RAPHEAL (BSW)
Entity type:Individual
Prefix:MR
First Name:RAPHEAL
Middle Name:
Last Name:THURIN
Suffix:
Gender:M
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3844 CANIFF ST
Mailing Address - Street 2:
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-3103
Mailing Address - Country:US
Mailing Address - Phone:989-992-6278
Mailing Address - Fax:313-874-8715
Practice Address - Street 1:3844 CANIFF ST
Practice Address - Street 2:
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-3103
Practice Address - Country:US
Practice Address - Phone:989-992-6278
Practice Address - Fax:313-874-8715
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health