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General NPI Number Information
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NPI Number | 1689086456
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Entity Type | Individual
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Provider Name | ANGEL MARIE THOMPSON LPC, LCPC
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Gender | Female
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Dates
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Enumeration Date | 05/28/2014
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Last Update Date | 07/07/2020
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Provider Practice Location Address
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Address Line | 1935 BARRINGTON CT
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City | BOWIE
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State | MD
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Zip | 20721-2703
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Country | US
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Telephone | 301-326-5383
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Fax |
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Provider Business Mailing Address
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Address Line | 1935 BARRINGTON CT
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City | BOWIE
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State | MD
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Zip | 20721-2703
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Country | US
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Telephone | 301-326-5383
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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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 | LC7925
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License Number State | MD
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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 |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | PRC14396
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License Number State | DC
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