Individual
GERALDINE MARIE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC II
Contact information
Practice address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1757
(614) 445-8131
Mailing address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1757
(614) 445-8131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
162047
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0459394
—
OH
Enumeration date
09/13/2021
Last updated
11/26/2024
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