Individual
BLAKE M THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-I, LCDC, CRC
Contact information
Practice address
1221 W BEN WHITE BLVD STE B300, AUSTIN, TX 78704-7192
(877) 800-5722
Mailing address
2423 WILLIAMS DR STE 107, GEORGETOWN, TX 78628-3269
(877) 800-5722
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14832
TX
101YP2500X
Professional Counselor
Primary
81624
TX
Other
Enumeration date
02/26/2020
Last updated
07/17/2025
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