Individual
JEFFREY ALEXANDER THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 CATHEDRAL ST STE 200, BALTIMORE, MD 21201-4430
(443) 438-7863
(443) 957-9485
Mailing address
8554 BLACK STAR CIR, COLUMBIA, MD 21045-2649
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC11071
MD
101YP2500X
Professional Counselor
LGP9234
MD
Other
Enumeration date
06/26/2019
Last updated
05/06/2025
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