| Doctor Name: | MADRICAL LYNN THOMPSON |
| NPI Number: | 1023332244 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 0701004703 |
| Business Practice Address: | 3022 Javier Rd Ste 215 Fairfax, VA - 220314646 |
| Business Phone Number: | 5712258386 |
| Business Fax Number: | 3015874107 |
| Mailing Address: | 800 Argyle Rd, SILVER SPRING |
| State: | MD |
| Postal Code: | 209013202 |
| Phone Number: | 5712258386 |
| Fax Number: | 3015874107 |
| NPI Enumeration Date: | 03/17/2010 |
| NPI Last Update Date: | 03/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0701004703 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |