Individual
KELLY ANNE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
122 LANGLEY RD N, SUITE A, GLEN BURNIE, MD 21060-6531
(410) 222-6785
Mailing address
122 LANGLEY RD N, SUITE A, GLEN BURNIE, MD 21060-6531
(410) 222-6785
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2672
MD
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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