Individual
LAURA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAC
Contact information
Practice address
40 DECK ST, BARNEGAT, NJ 08005-1844
(609) 312-3417
Mailing address
40 DECK ST, BARNEGAT, NJ 08005-1844
(609) 312-3417
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37AC00239000
NJ
101YM0800X
Mental Health Counselor
37AC00239000
NJ
101YP2500X
Professional Counselor
Primary
37AC00239000
NJ
106H00000X
Marriage & Family Therapist
37AC00239000
NJ
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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