Individual
JENNIFER K THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
484 MAIN ST, WORCESTER, MA 01608-1893
(508) 796-1411
Mailing address
340 MAIN ST STE 202, WORCESTER, MA 01608-1670
(508) 630-4148
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16620
MA
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
08/17/2021
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