| Doctor Name: | MRS. LINDA M. THORNTON |
| NPI Number: | 1104049261 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LPC |
| License Number: | 6401008086 |
| Business Practice Address: | 26520 Grand River Ave. Suite 107 Redford, MI - 48240 |
| Business Phone Number: | 3135377230 |
| Business Fax Number: | 3135371866 |
| Mailing Address: | 20125 Harbor Ln, SOUTHFIELD |
| State: | MI |
| Postal Code: | 480764910 |
| Phone Number: | 3135377230 |
| Fax Number: | |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 08/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 6401008086 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |