MEDICARE: MS. SARAH ELIZABETH THOMPSON MA, LGPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LG11884	MD

General Provider Information

NPI Number	:	1356001465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARAH ELIZABETH THOMPSON MA, LGPC

Provider Business Mailing Address
First Line	:	10360 SWIFT STREAM PL APT 414
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-4943
Country	:	US
Telephone Number	:	443-608-9493
Fax Number	:

Provider Business Practice Location Address
First Line	:	4405 E WEST HWY STE 602
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-4537
Country	:	US
Telephone Number	:	301-852-5888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/30/2021
Last Update Date	:	01/03/2022

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