Individual
ANGELA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, CAP
Contact information
Practice address
93A ORANGE ST STE 1, ST AUGUSTINE, FL 32084-3564
(904) 717-1684
Mailing address
516 HEDGEWOOD DR, ST AUGUSTINE, FL 32092-0738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH9375
FL
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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