Individual
INA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
272 MEDICAL PARK BOULEVARD, PETERSBURG, VA 23805
(804) 733-0129
(804) 518-1341
Mailing address
3811 BREVARD CT, SOUTH CHESTERFIELD, VA 23834-1663
(804) 605-2528
(804) 518-1341
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701006300
VA
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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