Dr. Charlos Thompson's National Provider Identifier (NPI) Details
Dr. Charlos Thompson, LCSW, PhD
NPI: 1114285814
Enumeration Date: 2012-05-01
Last updated: 2023-08-22
Sole Proprietor: YES
Status: active
Postal Address: 2215 PORTLAND AVE, LOUISVILLE, KY
Phone: 502-774-8631
Primary Practice Address: PO BOX 950244, LOUISVILLE, KY
Practice's phone: 812-218-8926