Individual
MS. SYDNELL DENISE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS, LPC, CCS
Contact information
Practice address
104 NEW STATESIDE DRIVE, CHAPEL HILL, NC 27516
(919) 247-7011
Mailing address
104 NEW STATESIDE DRIVE, CHAPEL HILL, NC 27516
(919) 247-7011
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
399
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
865
NC
101YM0800X
Mental Health Counselor
7884
NC
101YP2500X
Professional Counselor
7884
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142PE
BLUE CROSS AND BLUE SHIEL
NC
Enumeration date
11/16/2006
Last updated
12/11/2015
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