Individual
MRS. KATIE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.ED., LPC, NCC
Contact information
Practice address
640 HOLLY AVE, WINSTON SALEM, NC 27101-2716
(336) 725-3999
Mailing address
640 HOLLY AVE, WINSTON SALEM, NC 27101-2716
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
5136
NC
101YS0200X
School Counselor
Primary
5136
NC
Other
Enumeration date
05/01/2007
Last updated
07/15/2010
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