Individual
MS. MERISSA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
67 ASHLEY RD, BRISTOL, CT 06010-2604
(860) 385-4742
Mailing address
67 ASHLEY RD, BRISTOL, CT 06010-2604
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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