Individual
MS. CAROLINE M. THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
291 PARK AVE, DANVILLE, VA 24541
(434) 799-3310
(434) 799-3317
Mailing address
291 PARK AVE, DANVILLE, VA 24541
(434) 799-3310
(434) 799-3317
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000101
VA
101YM0800X
Mental Health Counselor
0701001762
VA
101YP2500X
Professional Counselor
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010227968
—
VA
01
—
186473
ANTHEM
VA
01
—
519082
VALUE OPTIONS
VA
01
—
592787000
MAGELLAN
VI
01
—
SENTARA
O86842M
VA
Enumeration date
08/01/2006
Last updated
01/23/2015
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