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General NPI Number Information
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NPI Number | 1578745758
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Entity Type | Individual
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Provider Name | LINDA KAY THOMPSON PH.D., LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 1110 DELACROIX CIR
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City | NOKOMIS
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State | FL
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Zip | 34275-4564
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Country | US
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Telephone | 573-999-5463
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Fax |
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Provider Business Mailing Address
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Address Line | 1110 DELACROIX CIR
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City | NOKOMIS
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State | FL
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Zip | 34275-4564
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Country | US
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Telephone | 573-999-5463
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CS001125
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | PC007008
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFA000870
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT3635
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License Number State | FL
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