Individual
MARY L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRC
Contact information
Practice address
10710 MIDLOTHIAN TPKE STE 100, NORTH CHESTERFIELD, VA 23235-4723
(804) 207-6737
Mailing address
10710 MIDLOTHIAN TPKE STE 100, NORTH CHESTERFIELD, VA 23235-4723
(804) 207-6737
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704016255
VA
Other
Enumeration date
08/01/2023
Last updated
09/07/2023
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