Individual
MATTHEW L THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
540 HUGHES RD, MADISON, AL 35758-8999
(256) 631-7898
Mailing address
1317 RIDGEDALE ST, ATHENS, AL 35613-8540
(256) 282-8884
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000025
—
AL
Enumeration date
01/24/2011
Last updated
04/08/2020
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