Individual
MR. PAUL JEFFREY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LPC, LBSW
Contact information
Practice address
217 E SANILAC RD, SANDUSKY, MI 48471-1383
(810) 583-0452
(810) 648-0315
Mailing address
2333 MARLETTE RD., APPLEGATE, MI 48401-9739
(810) 404-8524
(888) 828-8290
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401009076
MI
Other
Enumeration date
03/14/2007
Last updated
08/31/2012
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