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Individual

DAYNA AMBER THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
583 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5515
(812) 353-9299
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002185A
IN
101YM0800X
Mental Health Counselor

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300086300
IN
Enumeration date
12/29/2023
Last updated
02/15/2024
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