Individual
MATTHEW T TOMPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, NCC, EDS
Contact information
Practice address
810 E JACKSON BLVD STE B1, JACKSON, MO 63755-2400
(573) 213-8033
Mailing address
810 E JACKSON BLVD STE B1, JACKSON, MO 63755-2400
(573) 213-8033
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2017032823
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490055178
—
MO
Enumeration date
12/20/2017
Last updated
09/13/2024
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