Individual
MALLORI THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCMHC
Contact information
Practice address
4070 BARRETT DR, RALEIGH, NC 27609-6604
(919) 410-6566
Mailing address
301 STURMINSTER DR, HOLLY SPRINGS, NC 27540-8470
(201) 230-7223
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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