Grant M Thompson, LPC-IT
NPI #1215817051 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1215817051
- Entity Type
- Individual
- Name
- Grant M Thompson, LPC-IT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- LPC-IT
- Enumeration Date
- Sep 3, 2025
- Last Updated
- Sep 3, 2025
Practice Location
- Address
- 1225 PRAIRIE CREEK BLVD UNIT 209
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066-8685
- Phone
- (608) 302-6395
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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