Individual provider · Type 1 NPI

Michael Gregory Thompson, LCPC, CRADC, SAP

Addiction (Substance Use Disorder) Counselor · Mount Vernon, IL

NPI number 1972612901 Active

Practice location

4230 Lincolnshire Dr, Suite E
Mount Vernon, IL 62864-2189

Fax (618) 242-4209

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Professional Counselor 101YP2500XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1972612901

Michael Gregory Thompson, LCPC, CRADC, SAP's National Provider Identifier is 1972612901, issued on Aug 30, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mount Vernon, IL. The record was last updated on Sep 11, 2025.