Individual
MRS. JACQUELINE ANDREA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCC MED CCDCI
Contact information
Practice address
78 N BREIEL BLVD, MIDDLETOWN, OH 45042-3804
(513) 424-2300
(513) 424-2300
Mailing address
78 N BREIEL BLVD, MIDDLETOWN, OH 45042-3804
(513) 424-2300
(513) 424-2300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E0003614
OH
Other
Enumeration date
05/01/2006
Last updated
06/09/2020
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