Individual
MEGHAN A THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, SAC-IT
Contact information
Practice address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301-2241
(920) 433-6073
(920) 431-0333
Mailing address
PO BOX 22040, GREEN BAY, WI 54305-2040
(920) 445-7226
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16881-130
WI
101YP2500X
Professional Counselor
Primary
5920-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16881-130
SAC-T
WI
01
—
5920-125
LICENSE
WI
Enumeration date
07/17/2015
Last updated
11/23/2020
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