Individual
KAYLA ASHLY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PC
Contact information
Practice address
90 HOSPITAL DR, ATHENS, OH 45701-2301
(740) 592-3091
Mailing address
90 HOSPITAL DR, ATHENS, OH 45701-2301
(740) 592-3091
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1200334
OH
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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