Individual
JACQUELYN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1256 HIGHWAY 138 SW, RIVERDALE, GA 30296-1402
(770) 994-2223
(770) 994-2224
Mailing address
1256 HIGHWAY 138 SW, RIVERDALE, GA 30296-1402
(770) 994-2223
(770) 994-2224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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