Individual
THERESA NICOLE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 EUCLID AVE, CLEVELAND, OH 44103-3736
(216) 855-2351
Mailing address
4500 EUCLID AVE, CLEVELAND, OH 44103-3736
(216) 855-2351
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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