Individual
MS. ANNTOINETTE EVON THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 HARRIS AVE, RAEFORD, NC 28376-3114
(910) 364-2342
Mailing address
512 HARRIS AVE, RAEFORD, NC 28376-3114
(910) 364-2342
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16798
NC
101YP1600X
Pastoral Counselor
1217043
NC
101YS0200X
School Counselor
1217043
NC
Other
Enumeration date
07/08/2020
Last updated
03/06/2024
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