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NPI Code Detail

MEDICARE: JEAN THOMPSON

MEDICARE: JEAN 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
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker103430MA

General Provider Information

NPI Number : 1568681419
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEAN THOMPSON
Provider Business Mailing Address
First Line : 1873 WASHINGTON ST
Second Line :
City : SOUTH WALPOLE
State : MA
Zip : 02071-1029
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 32 COMMON ST
Second Line :
City : WALPOLE
State : MA
Zip : 02081-2803
Country : US
Telephone Number : 508-668-3223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2007
Last Update Date : 06/21/2026

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Directions to “ JEAN THOMPSON ” Practice Location

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