Individual
BRENDA LYNN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
8880 JAYWICK DR APT 206, FISHERS, IN 46037
(317) 523-6969
Mailing address
8880 JAYWICK DR APT 206, FISHERS, IN 46037-8649
(317) 523-6969
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
99053785A
IN
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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