Individual
JESSICA ANN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-C
Contact information
Practice address
5569 S LEWIS AVE, TULSA, OK 74105-7132
(918) 742-6050
Mailing address
5569 S LEWIS AVE, TULSA, OK 74105-7132
(918) 742-6050
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12565
OK
Other
Enumeration date
11/01/2022
Last updated
01/20/2025
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