Individual
KEVIN E THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
8261 OLD TAVERN RD, ROANOKE, VA 24019-6806
(540) 774-8258
Mailing address
8261 OLD TAVERN RD, ROANOKE, VA 24019-6806
(540) 774-8258
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004805
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437137734
—
VA
Enumeration date
04/29/2010
Last updated
09/18/2014
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