Individual
KEVIN EDWARD THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-MHSP
Contact information
Practice address
1815 MCCALLIE AVE, CHATTANOOGA, TN 37404-3026
(423) 756-2894
Mailing address
1815 MCCALLIE AVE, CHATTANOOGA, TN 37404-3026
(423) 756-2894
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5933
TN
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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