Individual
JODI JEAN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
513 3RD ST SW, WAGNER, SD 57380-9675
(605) 384-3418
(605) 384-5240
Mailing address
40438 296TH ST, AVON, SD 57315-5000
(605) 595-8929
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC20615
SD
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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