Individual
MR. JASON THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
15708 94TH AVE, FLORISSANT, MO 63034-2177
(313) 853-1316
Mailing address
15708 94TH AVE, FLORISSANT, MO 63034-2177
(314) 853-1316
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2005016778
MO
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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