Individual
KATIE R THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
1332 LONDONTOWN BLVD STE 119, ELDERSBURG, MD 21784-6590
(443) 650-8480
Mailing address
935 BEDFORD DR, ELDERSBURG, MD 21784-8837
(443) 650-8480
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP12104
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LGP12130
MARYLAND DEPARTMENT OF HEALTH
MD
Enumeration date
11/10/2021
Last updated
11/10/2021
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