Individual
ANTASHIA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 PATRICK ST, KISSIMMEE, FL 34741-5534
(321) 236-1540
Mailing address
17240 CAGAN CROSSINGS BLVD, CLERMONT, FL 34714-4720
(352) 740-4650
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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