Individual
MRS. COURTNEY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC/C
Contact information
Practice address
66 STONE ST, AUGUSTA, ME 04330-5227
(207) 626-3455
Mailing address
66 STONE ST, AUGUSTA, ME 04330-5227
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
XL4606
ME
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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