Individual
HENDRIA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
542 COLUMBIA ST, BOGALUSA, LA 70427-4720
(985) 735-9448
Mailing address
542 COLUMBIA ST, BOGALUSA, LA 70427-4720
(985) 735-9448
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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