Individual
JESSICA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHS
Contact information
Practice address
541 SR 664 N, SUITE C, LOGAN, OH 43138-8541
(740) 385-6594
(740) 774-6617
Mailing address
PO BOX 188, CHILLICOTHE, OH 45601-0188
(740) 773-4366
(740) 773-4750
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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