Individual
SHARAHN PATRISE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPA ,BS
Contact information
Practice address
2308 BIRKSTONE DR, NORTH LITTLE ROCK, AR 72117-5043
(501) 410-7960
Mailing address
2308 BIRKSTONE DR, NORTH LITTLE ROCK, AR 72117-5043
(501) 410-7960
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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