person
Mr. Michael Gregory Thompson, LCPC,CRADC,SAP
Professional Counselor in Mount Vernon, Illinois
NPI 1972612901

Michael Gregory Thompson is a Professional Counselor based in Mount Vernon, IL and is specialized in Professional. Michael Gregory Thompson practices in Mount Vernon, IL and has the professional credentials of LCPC,CRADC,SAP. The NPI Number for Michael Gregory Thompson is 1972612901 and holds a License No. (Illinois).

The current practice location address for Michael Gregory Thompson is 4230 Lincolnshire Dr, Mount Vernon, IL and can be reached out via phone at 618-242-4290 and via fax at 618-242-4209.

Location: 4230 Lincolnshire Dr, Mount Vernon, IL, 62864-2189
person
Provider Profile Details
NPI Number
1972612901
Provider Name
Michael Gregory Thompson
Credential
LCPC,CRADC,SAP
Provider Entity Type
Individual
Gender
Male
Address
4230 Lincolnshire Dr, Mount Vernon, IL, 62864-2189
Phone Number
618-242-4290
Fax Number
618-242-4209
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04128084 01 IL BLUE CROSS BLUE SHIELD
5266705 01 IL AETNA
institution
Provider Business Practice Location Address Details
Address
4230 Lincolnshire Dr
City
State
Zip
62864-2189
Phone Number
618-242-4290
Fax Number
618-242-4209
person
Provider Business Mailing Address Details
Address
4230 Lincolnshire Dr
City
State
Zip
62864-2189
Phone Number
618-242-4290
Fax Number
618-242-4209
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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