Individual
TALIA BETH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, LPCC
Contact information
Practice address
9245 QUANTRELLE AVE NE, OTSEGO, MN 55330-0168
(763) 746-9492
(763) 746-3685
Mailing address
6242 MAGDA DR UNIT C, MAPLE GROVE, MN 55369-2201
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
12/03/2025
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