| Doctor Name: | LAILA E THOMPSON |
| NPI Number: | 1043367261 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA LMHC |
| License Number: | LH00009205 |
| Business Practice Address: | 1000 Kresky Ave #6 Centralia, WA - 985313700 |
| Business Phone Number: | 3607909378 |
| Business Fax Number: | 3607909378 |
| Mailing Address: | Po Box 14211, TUMWATER |
| State: | WA |
| Postal Code: | 985114211 |
| Phone Number: | 3607909378 |
| Fax Number: | 3607909378 |
| NPI Enumeration Date: | 01/03/2007 |
| NPI Last Update Date: | 01/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH00009205 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |