Individual
GREGORY M. THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, LMFT
Contact information
Practice address
200 E CHESTNUT ST, LOUISVILLE, KY 40202-1831
(502) 588-0800
(502) 588-0801
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0800
(502) 588-0801
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1053
KY
106H00000X
Marriage & Family Therapist
Primary
0298
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100294160
—
KY
Enumeration date
10/02/2006
Last updated
09/03/2014
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