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Individual

ALISA L THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
17 S RIVER ST, SUITE 254, JANESVILLE, WI 53548-3860
(608) 755-5260
(608) 755-5267
Mailing address
17 S RIVER ST, SUITE 254, JANESVILLE, WI 53548-3860
(608) 755-5260
(608) 755-5267

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4597
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1740574037
WI
Enumeration date
06/03/2011
Last updated
03/25/2024
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