Individual
TERESA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3575 RUTHERFORD ROAD EXT STE B, TAYLORS, SC 29687-2168
(864) 243-8097
(854) 203-1195
Mailing address
3575 RUTHERFORD ROAD EXT STE B, TAYLORS, SC 29687-2168
(864) 423-8097
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
3471
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421504
—
SC
Enumeration date
01/13/2016
Last updated
06/30/2021
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