Individual provider · Type 1 NPI

Jalisa Thompson

Mental Health Counselor · Wilmington, DE

NPI number 1093567612 Active

Practice location

3700 Lancaster Pike Ste 305
Wilmington, DE 19805-1511

Mailing address

1025 N Madison St Apt C305
Wilmington, DE 19801-1492

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1093567612

Jalisa Thompson's National Provider Identifier is 1093567612, issued on Apr 5, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wilmington, DE. The record was last updated on Apr 5, 2024.