Provider Demographics
NPI:1578280665
Name:THOMERSON, VERONICA S (LPC)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:S
Last Name:THOMERSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:VERONICA
Other - Middle Name:S
Other - Last Name:AKONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:1340 DAMON DRIVE
Mailing Address - Street 2:UNIT H
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505
Mailing Address - Country:US
Mailing Address - Phone:191-762-6454
Mailing Address - Fax:
Practice Address - Street 1:1340 DAMON DRIVE
Practice Address - Street 2:UNIT H
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29505
Practice Address - Country:US
Practice Address - Phone:917-626-4542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC7552101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty