Provider Demographics
NPI:1326182114
Name:THOMPSON, WILLIAM J (BA, MHP)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:J
Last Name:THOMPSON
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Gender:M
Credentials:BA, MHP
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Mailing Address - Street 1:325 IL ROUTE 2
Mailing Address - Street 2:SINNISSIPPI CENTERS INC
Mailing Address - City:DIXON
Mailing Address - State:IL
Mailing Address - Zip Code:61021-9118
Mailing Address - Country:US
Mailing Address - Phone:815-284-6611
Mailing Address - Fax:815-284-2834
Practice Address - Street 1:325 IL ROUTE 2
Practice Address - Street 2:SINNISSIPPI CENTERS INC
Practice Address - City:DIXON
Practice Address - State:IL
Practice Address - Zip Code:61021-9118
Practice Address - Country:US
Practice Address - Phone:815-284-6611
Practice Address - Fax:815-284-2834
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health