Individual
CHARLES THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1204 FAIRCHILD AVE, JOLIET, IL 60432-1312
(815) 412-5519
Mailing address
1204 FAIRCHILD AVE, JOLIET, IL 60432-1312
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.12938
IL
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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