Most Relevant Information
Provider Data
| NPI Number: | 1003364787 |
| Provider Name: | BRIANNA MEGAN THOMPSON MA, LPC, NCC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/12/2016 |
| Last Updated: | 01/13/2020 |
Provider Practice Location
817 E 6TH ST
TISHOMINGO
OK
734601800
Practice Location Phone/Fax
| Phone: | 5804958613 |
| Fax: |
Provider Mailing Location
PO BOX 1845
DURANT
OK
747021845
Provider Mailing Phone/Fax
| Phone: | 5807401946 |
| Fax: |