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NPI Code Detail

MEDICARE: ABIGAIL LYNN THOMPSON

MEDICARE: ABIGAIL LYNN THOMPSON
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
1101Y00000XCounselorBBH-PCLC-LIC-71271MT

General Provider Information

NPI Number : 1205677804
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAIL LYNN THOMPSON
Provider Business Mailing Address
First Line : 950 STONERIDGE DR STE 1
Second Line :
City : BOZEMAN
State : MT
Zip : 59718-7063
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 950 STONERIDGE DR STE 1
Second Line :
City : BOZEMAN
State : MT
Zip : 59718-7063
Country : US
Telephone Number : 406-624-6007
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2024
Last Update Date : 06/05/2024

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Directions to “ ABIGAIL LYNN THOMPSON ” Practice Location

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