Individual
JACQUELINE C THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
301 E WENDOVER AVE STE 400, GREENSBORO, NC 27401-1207
(336) 832-3150
(336) 832-3151
Mailing address
PO BOX 745040, ATLANTA, GA 30374-5040
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14086
NC
Other
Enumeration date
03/10/2020
Last updated
04/29/2024
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