Deborah Blank Thompson, LPC, MA

Individual provider Active NPI Mental Health Counselor · Bridgeport, WV

NPI 1508029927 · NPPES record last updated Jul 7, 2008

Key facts

NPI
1508029927
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
1145 (WV)
Practice address
243 W Main St
Bridgeport, WV 26330-1748
Phone
(304) 842-8852
Fax
(304) 842-8853
NPI assigned
Jul 7, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1145WVMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1145 WV Yes

Addresses

Primary practice location

243 W Main St
Bridgeport, WV 26330-1748

Mailing address

243 W Main St
PO Box 880
Bridgeport, WV 26330-1748
Phone (304) 842-8852

Other providers in Bridgeport, WV

All providers in Bridgeport, WV · Mental Health Counselor in West Virginia

Sources for this page

Verify at the official NPI Registry.