| Doctor Name: | MS. KELLY MARGARET THOMPSON |
| NPI Number: | 1003085127 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.P.C., N.C.C. |
| License Number: | 4790 |
| Business Practice Address: | 3613 Coughlin Ct Greenville, NC - 278345979 |
| Business Phone Number: | 2522583893 |
| Business Fax Number: | |
| Mailing Address: | 3613 Coughlin Ct, GREENVILLE |
| State: | NC |
| Postal Code: | 278345979 |
| Phone Number: | 2522583893 |
| Fax Number: | |
| NPI Enumeration Date: | 02/22/2008 |
| NPI Last Update Date: | 11/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 4790 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |