Individual
KIMBERLY THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11648 GRAVOIS RD, SUITE 140, SAINT LOUIS, MO 63126-3034
(314) 472-3411
(314) 200-6978
Mailing address
8638 OLD BONHOMME RD, APT B, SAINT LOUIS, MO 63132-3932
(314) 743-7107
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2015014884
MO
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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