| Doctor Name: | MR. THOMAS CLAY DECK |
| NPI Number: | 1043425424 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A, C.A.C.-I |
| License Number: | 120005 |
| Business Practice Address: | 316 E Chicago St Coldwater, MI - 490362068 |
| Business Phone Number: | 5172795337 |
| Business Fax Number: | 5172795391 |
| Mailing Address: | 843 Rolling Meadows Dr, QUINCY |
| State: | MI |
| Postal Code: | 490829548 |
| Phone Number: | 5176397066 |
| Fax Number: | |
| NPI Enumeration Date: | 05/11/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 120005 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |