MRS. Jacqueline Andrea Thompson, PCC MED CCDCI
NPI #1013974203 in Middletown, Ohio
Provider Information
- NPI Number
- 1013974203
- Entity Type
- Individual
- Name
- MRS. Jacqueline Andrea Thompson, PCC MED CCDCI
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- PCC MED CCDCI
- Enumeration Date
- May 1, 2006
- Last Updated
- Jun 9, 2020
Practice Location
- Address
- 78 N BREIEL BLVD
- City
- Middletown
- State
- Ohio
- ZIP Code
- 45042-3804
- Phone
- (513) 424-2300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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