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Individual
MS. LATRESE THOMPSON
Active
Individual
MS. LATRESE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPCC, CRC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1415
CA
101YM0800X
Mental Health Counselor
1415
CA
101YP2500X
Professional Counselor
1415
CA
171M00000X
Case Manager/Care Coordinator
—
—
225C00000X
Rehabilitation Counselor
00111574
FL
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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