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Individual

CHAUTE THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
601 21ST ST STE 300, VERO BEACH, FL 32960-0860
(772) 302-6191
(772) 872-5245
Mailing address
10380 SW VILLAGE CENTER DR # 378, PORT SAINT LUCIE, FL 34987-1931
(772) 302-6191
(772) 872-5245

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH14243
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101Y00000X
FL
05
101YM0800X
FL
Enumeration date
11/04/2013
Last updated
12/19/2021
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