Individual
MARY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
998 BROOKS INDUSTRIAL RD, SHELBYVILLE, KY 40065-8154
(502) 633-1315
Mailing address
998 BROOKS INDUSTRIAL RD, SHELBYVILLE, KY 40065-8154
(502) 633-1315
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
269682
KY
Other
Enumeration date
08/07/2018
Last updated
05/20/2021
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