Provider Demographics
NPI:1477619393
Name:THOMPSON, JOANNE (LPCC, LICDC, EAPI)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LPCC, LICDC, EAPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2932 SOUTH 3BS AND K ROAD
Mailing Address - Street 2:
Mailing Address - City:GALENA
Mailing Address - State:OH
Mailing Address - Zip Code:43021
Mailing Address - Country:US
Mailing Address - Phone:614-327-0668
Mailing Address - Fax:740-548-0709
Practice Address - Street 1:2932 S 3 BS AND K RD
Practice Address - Street 2:
Practice Address - City:GALENA
Practice Address - State:OH
Practice Address - Zip Code:43021
Practice Address - Country:US
Practice Address - Phone:614-327-0668
Practice Address - Fax:740-548-0709
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOH1-45-8322174400000X
OH011127101YA0400X
OHE.1700361101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No174400000XOther Service ProvidersSpecialist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)