Healthcare Provider Details

I. General information

NPI: 1225131873
Provider Name (Legal Business Name): DEBRA R THOMPSON LPCC, LPAT, ATR-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. DEBRA R THOMPSON-MORRIS

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3224 1/2 AVE. DE SAN MARCOS
SANTA FE NM
87507-9250
US

IV. Provider business mailing address

3224 1/2 AVE DE SAN MARCOS
SANTA FE NM
87507-9250
US

V. Phone/Fax

Practice location:
  • Phone: 505-474-9358
  • Fax:
Mailing address:
  • Phone: 505-474-9358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number6067
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1180
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: