Individual
BRENDA M. THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
59 FERRY RD, LISBON, ME 04250-6231
(207) 319-6369
Mailing address
59 FERRY RD, LISBON, ME 04250-6231
(207) 319-6369
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC1577
ME
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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