Individual
S ASHLEY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, MBA, LPC, LADC
Contact information
Practice address
11 HARVEST LN, GLASTONBURY, CT 06033-1721
(860) 633-9852
Mailing address
11 HARVEST LN, GLASTONBURY, CT 06033-1721
(860) 633-9852
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000535
CT
101YP2500X
Professional Counselor
Primary
000203
CT
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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