Individual
DR. HOLLY COLETTE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LPCC, LCPC
Contact information
Practice address
30 COUNTRY PL, SPRINGFIELD, IL 62703-5310
(309) 453-0865
Mailing address
30 COUNTRY PL, SPRINGFIELD, IL 62703-5310
(309) 453-0865
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.011994
IL
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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