Michael Gregory Thompson, LCPC , CRADC , SAP
Counselor, Addiction (Substance Use Disorder) in Mount Vernon, IL. Individual provider (NPI-1).
NPI number1972612901
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1972612901
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Gregory Thompson
- Credential
- LCPC , CRADC , SAP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 180-003084 | IL | Yes |
| 101YP2500X | Counselor, Professional | 180-003084 | IL |
Practice location
4230 Lincolnshire DrSuite E
Mount Vernon, IL 62864-2189
Phone 618-242-4290 · Fax 618-242-4209
Mailing address
4230 Lincolnshire DrSuite E
Mount Vernon, IL 62864-2189
Phone 618-242-4290 · Fax 618-242-4209
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All 12 Addiction (Substance Use Disorder) Counselor providers in Mount Vernon · All 834 providers in Mount Vernon
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