Individual
MRS. LEANNA THOMSON
Active
Individual
MRS. LEANNA THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2005041421
MO
101YM0800X
Mental Health Counselor
2005041421
MO
101YP2500X
Professional Counselor
Primary
2005041421
MO
Other
Enumeration date
06/28/2007
Last updated
10/27/2015
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