CHARLOS VERNELL THOMPSON

LOUISVILLE, KY
NPI1114285814
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  104085)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: KY  3534)
Enumeration Date2012-05-01
Last Update Date2023-08-22
Business Address
CHARLOS VERNELL THOMPSON LCSW, PhD
2215 PORTLAND AVE
LOUISVILLE, KY 40212-1033
Phone number: 502-774-8631
Mailing Address
CHARLOS VERNELL THOMPSON LCSW, PhD
PO BOX 950244
LOUISVILLE, KY 40295-0244
Phone number: 812-218-8926