Individual
JAMES WALTER THOMPSON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PCLC, LSC
Contact information
Practice address
1724 FAIRVIEW AVE STE A, MISSOULA, MT 59801-7873
(406) 214-3810
Mailing address
1724 FAIRVIEW AVE STE A, MISSOULA, MT 59801-7873
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BBH-PCLC-LIC-57573
MT
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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