Individual
DR. MARTHA JANE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC; NCC
Contact information
Practice address
1135 NORTH WAY, SUITE E, DARIEN, GA 31305
(912) 437-2442
Mailing address
1135 NORTH WAY, SUITE E, DARIEN, GA 31305
(912) 437-2442
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
382
GA
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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