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Individual

JOHN P THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CDP, LMHC

Contact information

Practice address
1822 BLACK LAKE BLVD SW STE 101, OLYMPIA, WA 98512-5628
(360) 704-0086
Mailing address
7512 MIRIMICHI DR NW APT 3, OLYMPIA, WA 98502-9365

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00003452
WA
101YM0800X
Mental Health Counselor
LH60174986
WA

Other

Enumeration date
03/28/2013
Last updated
03/28/2013
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