Individual
MADISON THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1220 DOUGLAS DR, CARBONDALE, IL 62901-2586
(618) 453-7482
Mailing address
1220 DOUGLAS DR, CARBONDALE, IL 62901-2586
(618) 453-7482
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
Primary
—
IL
Other
Enumeration date
10/12/2023
Last updated
08/11/2026
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