Individual
DR. JUAN MICHAEL THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
4087 HIGHWAY 31 SW, FALKVILLE, AL 35622-6319
(256) 466-1546
Mailing address
4087 HIGHWAY 31 SW, FALKVILLE, AL 35622-6319
(256) 466-1546
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1701
AL
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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