Individual
EDEN CHASE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASE MANAGER II
Contact information
Practice address
2215 NW CACHE RD STE 107, LAWTON, OK 73505-5258
(580) 351-9998
Mailing address
2215 NW CACHE RD STE 107, LAWTON, OK 73505-5258
(580) 351-9998
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/25/2011
Last updated
10/19/2011
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