Individual
MISS CAITLIN ANNE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 MADISON AVE FL 21, NEW YORK, NY 10022-5433
(503) 737-5612
Mailing address
176 CHRISTIE ST, LEONIA, NJ 07605-1903
(503) 737-5612
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
010045
NY
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/27/2017
Last updated
09/10/2020
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