Individual
LORRAINE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
125 E PEARL AVE STE B005, JACKSON, WY 83001-8599
(307) 699-5025
Mailing address
PO BOX 2019, JACKSON, WY 83001-2019
(404) 483-2555
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
70639
TX
101YP2500X
Professional Counselor
Primary
LPC-1357
WY
101YP2500X
Professional Counselor
LPC005983
GA
Other
Enumeration date
08/19/2010
Last updated
06/23/2020
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