| Doctor Name: | MR. RANDLE REED THOMPSON |
| NPI Number: | 1023069572 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC, LMFT |
| License Number: | 3462 |
| Business Practice Address: | 2039 E Price Rd Ste A Brownsville, TX - 785212499 |
| Business Phone Number: | 9565422536 |
| Business Fax Number: | 9565042537 |
| Mailing Address: | Po Box 298, OLMITO |
| State: | TX |
| Postal Code: | 785750298 |
| Phone Number: | 9565422536 |
| Fax Number: | 9565042537 |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 3462 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |