Individual
ANGEL BRIDGETTA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-A, LCSWA
Contact information
Practice address
1312 MATTHEWS MINT HILL RD STE 205, MATTHEWS, NC 28105-4212
(252) 917-2775
Mailing address
1312 MATTHEWS MINT HILL RD STE 205, MATTHEWS, NC 28105-4212
(252) 917-2775
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
25515
NC
1041C0700X
Clinical Social Worker
Primary
P015876
NC
Other
Enumeration date
05/22/2017
Last updated
04/16/2024
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