Individual
CHERYLL ANN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 OLD ROSWELL LAKES PKWY, SUITE 300, ROSWELL, GA 30076-1612
(404) 218-9213
(678) 807-5269
Mailing address
700 OLD ROSWELL LAKES PKWY STE 300, ROSWELL, GA 30076-1612
(404) 218-9213
(678) 807-5269
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
007542
GA
101YP2500X
Professional Counselor
Primary
007542
GA
102L00000X
Psychoanalyst
007542
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962878892
NPPES
GA
Enumeration date
08/14/2015
Last updated
09/08/2021
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