Individual
DESTINY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
825 STUART RD, FARMVILLE, VA 23901-3020
(804) 920-2639
Mailing address
825 STUART RD, FARMVILLE, VA 23901-3020
(804) 920-2639
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704016996
VA
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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