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Individual
MR. JOHN ZACHARY THOMPSON
Active
Individual
MR. JOHN ZACHARY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., P-LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P-0248
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P-0248
PROVISIONAL LICENSE
MS
Enumeration date
01/30/2019
Last updated
01/30/2019
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