Individual
JANNA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 S JEFFERSON ST, MOSCOW, ID 83843-2936
(208) 883-1144
Mailing address
8814 E PARKSIDE LN, SPOKANE, WA 99217-9482
(951) 965-9894
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFTI-10655
ID
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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