Individual
BRIANNA MEGAN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
817 E 6TH ST, TISHOMINGO, OK 73460-1800
(580) 495-8613
Mailing address
PO BOX 1845, DURANT, OK 74702-1845
(580) 740-1946
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6963
OK
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/12/2016
Last updated
01/13/2020
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