Tisha K Thompson

NPI #1790056257 in Elgin, Illinois

Provider Information

NPI Number: 1790056257
Entity Type: Individual
Name: Tisha K Thompson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Jan 14, 2012
Last Updated: Jan 14, 2012

Practice Location

Address: 1845 GRANDSTAND PL
City: Elgin
State: Illinois
ZIP Code: 60123-6603
Phone: (847) 695-8727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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