Individual
SUSAN ALEJANDRA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CIT
Contact information
Practice address
19871 SACKETT LN, WAYNESVILLE, MO 65583-3510
(573) 315-3848
Mailing address
20329 SKYVIEW DR APT B, WAYNESVILLE, MO 65583-3576
(808) 445-0034
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MO
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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