Doctor Name: | MS. LORI ANN THOMPSON |
NPI Number: | 1063712511 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. LPC |
License Number: | 1983 |
Business Practice Address: | 23 Wabash Ave Philippi, WV - 264161262 |
Business Phone Number: | 3044571670 |
Business Fax Number: | 3044573315 |
Mailing Address: | 23 Wabash Ave, PHILIPPI |
State: | WV |
Postal Code: | 264161262 |
Phone Number: | 3044571670 |
Fax Number: | 3044573315 |
NPI Enumeration Date: | 11/01/2010 |
NPI Last Update Date: | 11/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1983 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |