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NPI Code Detail

MEDICARE: VICKIE THOMPSON LPC

MEDICARE:   VICKIE  THOMPSON  LPC
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 Counselor2153LA

General Provider Information

NPI Number : 1891117636
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKIE THOMPSON LPC
Provider Business Mailing Address
First Line : 3818A BAYOU RAPIDES RD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-3655
Country : US
Telephone Number : 318-449-8571
Fax Number : 318-449-8506
Provider Business Practice Location Address
First Line : 3818A BAYOU RAPIDES RD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-3655
Country : US
Telephone Number : 318-449-8571
Fax Number : 318-449-8506
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2014
Last Update Date : 01/14/2014

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Directions to “ VICKIE THOMPSON LPC” Practice Location

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