Individual
BROOKE LYNN FAROL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
996 N MONROE CT, XENIA, OH 45385-1860
(937) 708-8334
Mailing address
996 N MONROE CT, XENIA, OH 45385-1860
(937) 708-8334
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.177060
OH
Other
Enumeration date
07/05/2022
Last updated
11/29/2022
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