Individual
BRENDA K. THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, LMFT, NBCC
Contact information
Practice address
2216 W 12TH AVE, STILLWATER, OK 74074-5127
(405) 533-4090
(405) 533-4089
Mailing address
3501 W 24TH AVE, STILLWATER, OK 74074-2109
(405) 377-7828
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
82876 NCC
OK
101YP2500X
Professional Counselor
Primary
3001
OK
106H00000X
Marriage & Family Therapist
543
OK
Other
Enumeration date
06/14/2010
Last updated
06/14/2010
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