Individual
ELAINE M THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
11630 SE 40TH AVE STE A, MILWAUKIE, OR 97222-6195
(503) 730-5858
Mailing address
11630 SE 40TH AVE STE A, MILWAUKIE, OR 97222-6195
(503) 730-5858
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C3768
OR
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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