Individual
RYAN P THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
321 N MALL DR STE F202, SAINT GEORGE, UT 84790-7351
(435) 216-8688
(435) 214-2482
Mailing address
321 N MALL DR STE F202, SAINT GEORGE, UT 84790-7351
(435) 216-8688
(435) 214-2482
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
77863566004
UT
101YM0800X
Mental Health Counselor
77863566009
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015113
—
UT
Enumeration date
05/29/2012
Last updated
11/25/2019
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