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Individual

ERICA JOY THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
22 BLOOMSBURY AVE, CATONSVILLE, MD 21228-4784
(443) 612-1403
(443) 830-1521
Mailing address
22 BLOOMSBURY AVE, CATONSVILLE, MD 21228-4784
(443) 612-1402

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3960
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
147V1
BCBS
NC
05
6103809
NC
01
LC3960
MD STATE LICENSE
MD
Enumeration date
12/11/2007
Last updated
03/04/2014
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