Individual
DR. JACQUES D THIGPEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERTIFIED/LICENSED
Contact information
Practice address
1221 BENJAMAN DRIVE, GREENVILLE, NC 27834-1437
(252) 558-3139
Mailing address
1221 BENJAMAN DR, GREENVILLE, NC 27834-9352
(252) 558-3139
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TF0200X
Forensic Psychologist
27054
NC
174400000X
Specialist
Primary
JT873203
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8700510
—
NC
Enumeration date
01/17/2008
Last updated
03/07/2017
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