Individual
TYESHA THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
710 VERSAILLES BLVD, ALEXANDRIA, LA 71303-2351
(318) 447-4474
Mailing address
601 CHESTER ST, APT. B, ALEXANDRIA, LA 71301-6427
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12390
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/02/2015
Last updated
03/14/2023
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