Individual
MRS. DANA RENE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
804 S BROADWAY ST, POTEAU, OK 74953-3834
(918) 647-9629
Mailing address
203 CHERRY AVE, POTEAU, OK 74953-3803
(361) 205-2322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/18/2012
Last updated
09/01/2020
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