Individual
RENADA CORLETHA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 LAKE ST, LAKE PROVIDENCE, LA 71254-5208
(318) 559-0414
Mailing address
1700 LAKE ST, LAKE PROVIDENCE, LA 71254-5208
(318) 559-0414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/25/2017
Last updated
11/30/2023
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