Provider Demographics
NPI:1184927071
Name:THOMPSON, CHRISTI (LPC, NCC)
Entity type:Individual
Prefix:
First Name:CHRISTI
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 DAHLONEGA ST
Mailing Address - Street 2:STE 1901 B
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-2480
Mailing Address - Country:US
Mailing Address - Phone:678-371-7357
Mailing Address - Fax:
Practice Address - Street 1:327 DAHLONEGA ST
Practice Address - Street 2:STE 1901 B
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-2480
Practice Address - Country:US
Practice Address - Phone:678-371-7357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-15
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006805101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional