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JOHN JOSEPH THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
17685 JUNIPER PATH STE 301, LAKEVILLE, MN 55044-9821
(952) 214-8959
Mailing address
110 MAYO DR, BURNSVILLE, MN 55337-2605
(612) 386-5514

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4475
MN

Other

Enumeration date
10/28/2021
Last updated
07/29/2024
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