Individual
CHRISTINA A THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC,MS,BA
Contact information
Practice address
30 CONTROLS DR, SHELTON, CT 06484-6157
(203) 944-0366
(203) 753-3274
Mailing address
141 E MAIN ST, 4TH FLR ADMINISTRATION, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2704
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
CAQH
—
05
—
PENDING
—
CT
Enumeration date
03/28/2014
Last updated
02/24/2015
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