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NPI Code Detail

MEDICARE: KELIANA THOMPSON MA

MEDICARE: KELIANA THOMPSON MA
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
1101YP2500XProfessional Counselor3314MN

General Provider Information

NPI Number : 1649108564
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELIANA THOMPSON MA
Provider Business Mailing Address
First Line : 7835 3RD ST N STE 209
Second Line :
City : OAKDALE
State : MN
Zip : 55128-5445
Country : US
Telephone Number : 651-327-0849
Fax Number :
Provider Business Practice Location Address
First Line : 7835 3RD ST N STE 209
Second Line :
City : OAKDALE
State : MN
Zip : 55128-5445
Country : US
Telephone Number : 651-327-0849
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2026
Last Update Date : 05/11/2026

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Directions to “ KELIANA THOMPSON MA” Practice Location

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