Individual
HEATHER THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
109 MEDICAL PARK DR STE C, ANDALUSIA, AL 36420-5364
(334) 222-1818
(334) 222-1919
Mailing address
109 MEDICAL PARK DR STE C, ANDALUSIA, AL 36420-5364
(334) 222-1818
(334) 222-1919
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC05047
AL
Other
Enumeration date
07/23/2021
Last updated
10/03/2024
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