Individual
JILLIAN G THOMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, ADC
Contact information
Practice address
2327 PANSY ST SW STE C, HUNTSVILLE, AL 35801-3804
(256) 474-8981
Mailing address
2327 PANSY ST SW STE C, HUNTSVILLE, AL 35801-3804
(256) 474-8981
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC04882
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
12/10/2009
Last updated
06/06/2023
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