Individual
MS. JANICE ELIZABETH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
6809 FAIRVIEW ROAD, CHARLOTTE, NC 28210
(704) 365-7777
(704) 365-9256
Mailing address
6809 FAIRVIEW ROAD, CHARLOTTE, NC 28210
(704) 365-7777
(704) 365-9256
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC3229
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12402
BCBS
NC
01
—
2226
CBHA
NC
Enumeration date
07/12/2006
Last updated
07/08/2007
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