Individual
CHARME THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7505 PINES RD STE 1230, SHREVEPORT, LA 71129-3900
(318) 562-3707
Mailing address
8808 SPRINGRIDGE TEXAS LINE RD, KEITHVILLE, LA 71047-7174
(318) 219-6112
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5247
LA
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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