Individual
MR. THOMAS RUSSELL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, MDIV, BCC
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
(404) 329-2235
Mailing address
2191 ROCKBRIDGE RD, STONE MOUNTAIN, GA 30087-3588
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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