Individual
DESIRAE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
238 S MERIDIAN RD, YOUNGSTOWN, OH 44509-2925
(330) 318-3436
(330) 319-8800
Mailing address
238 S MERIDIAN RD, YOUNGSTOWN, OH 44509-2925
(330) 318-3436
(330) 319-8800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
140511
OH
101YP2500X
Professional Counselor
Primary
E.1901014
OH
103K00000X
Behavior Analyst
1-19-400900
—
103K00000X
Behavior Analyst
BH000065
PA
103K00000X
Behavior Analyst
COBA.00644
OH
Other
Enumeration date
12/21/2016
Last updated
05/01/2024
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