Individual
MRS. ELEANOR KELSEY MARTIN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1287 MARKS CHURCH RD STE E2, AUGUSTA, GA 30909-6330
(706) 426-1913
Mailing address
1287 MARKS CHURCH RD STE E2, AUGUSTA, GA 30909-6330
(706) 426-1913
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
AMFT000220
GA
106H00000X
Marriage & Family Therapist
Primary
MFT001513
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121328
—
SC
Enumeration date
09/03/2008
Last updated
01/23/2024
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