Individual
ANN M THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CSAC, ICS
Contact information
Practice address
1532 N 1ST AVE, WAUSAU, WI 54401-2514
(715) 297-0564
(715) 845-1977
Mailing address
1532 N 1ST AVE, WAUSAU, WI 54401-2514
(715) 297-0564
(715) 845-1977
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15470-131
WI
101YP2500X
Professional Counselor
Primary
4920-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15470-131
LICENSE
WI
01
—
4920-125
STATE LICENSE
WI
Enumeration date
01/24/2011
Last updated
02/22/2021
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