Individual
BRANDY NICOLE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2001 PHILO RD, URBANA, IL 61802-8007
(217) 398-9066
(217) 398-9077
Mailing address
2001 PHILO RD, URBANA, IL 61802-8007
(217) 398-9066
(217) 398-9077
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.018977
IL
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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