Individual
SHEILA J THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LADC
Contact information
Practice address
2 N EAGLEVILLE RD, STORRS MANSFIELD, CT 06268-1710
(860) 933-0109
Mailing address
57 HILLYNDALE RD, STORRS MANSFIELD, CT 06268-1819
(860) 933-0109
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000315
CT
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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