Individual
MR. KELVIN LEON THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
10 WILSON RD, STOCKBRIDGE, GA 30281-4433
(770) 506-9575
(770) 506-9369
Mailing address
100 DOGWOOD CT, PEACHTREE CITY, GA 30269-1111
(770) 964-3134
(770) 703-2609
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC001899
GA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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