Individual
MR. CASEY ROBERT THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
600 BUCKLEY RD, SAINT LOUIS, MO 63125-5303
(314) 560-4968
Mailing address
600 BUCKLEY RD, SAINT LOUIS, MO 63125-5303
(314) 560-4968
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2013044608
MO
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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