Individual
MELODY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, BCCC
Contact information
Practice address
771 SUMMERSTONE LN, LAWRENCEVILLE, GA 30044-5429
(678) 637-8643
Mailing address
771 SUMMERSTONE LN, LAWRENCEVILLE, GA 30044-5429
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC005646
GA
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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