Provider Demographics
NPI:1568000644
Name:THOMPSON, LIBERTEE D (LMSW, LAC)
Entity Type:Individual
Prefix:
First Name:LIBERTEE
Middle Name:D
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LMSW, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CLIENT CENTERED COUNSELING
Mailing Address - Street 2:121 W. MARLIN ST. , SUITE 300
Mailing Address - City:MCPHERSON
Mailing Address - State:KS
Mailing Address - Zip Code:67460-4229
Mailing Address - Country:US
Mailing Address - Phone:620-241-2300
Mailing Address - Fax:620-241-1813
Practice Address - Street 1:CLIENT CENTERED COUNSELING
Practice Address - Street 2:121 W. MARLIN ST. , SUITE 300
Practice Address - City:MCPHERSON
Practice Address - State:KS
Practice Address - Zip Code:67460-4229
Practice Address - Country:US
Practice Address - Phone:620-241-2300
Practice Address - Fax:620-241-1813
Is Sole Proprietor?:No
Enumeration Date:2019-12-19
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS90101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical