Mallori Thompson, MA, LCMHC
Counselor, Professional in Raleigh, NC. Individual provider (NPI-1).
NPI number1154099208
StatusActive
Last updated in NPPESSep 2, 2021
Details
- NPI
- 1154099208
- Entity type
- Individual (NPI-1)
- Name
- Mallori Thompson
- Credential
- MA, LCMHC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 2, 2021
- Certification date
- Sep 2, 2021
- Last updated
- Sep 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
Practice location
4070 Barrett DrRaleigh, NC 27609-6604
Phone 919-410-6566
Mailing address
301 Sturminster DrHolly Springs, NC 27540-8470
Phone 201-230-7223
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