Individual
LAKEN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
1402 4TH AVE, HUNTINGTON, WV 25701-2403
(304) 529-4276
Mailing address
1402 4TH AVE, HUNTINGTON, WV 25701
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
25-949SUD
WV
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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