Individual
CHANEL THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHC-LP
Contact information
Practice address
800 CONCOURSE VLG W APT 22K, BRONX, NY 10451-3634
(718) 502-7758
Mailing address
800 CONCOURSE VLG W APT 22K, BRONX, NY 10451-3634
(718) 502-7758
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
011817
NY
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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