Individual
ANDREA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4850 N ROSEPOINT WAY STE 103, BOISE, ID 83713-5262
(208) 391-2821
Mailing address
2873 N FAIRGLEN AVE, MERIDIAN, ID 83646-6035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-5740
ID
101YM0800X
Mental Health Counselor
LPC-4625
ID
Other
Enumeration date
02/17/2011
Last updated
02/27/2024
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