MR. Kevin Lee Thompson
NPI #1417015413 in Lucerne, California
Provider Information
- NPI Number
- 1417015413
- Entity Type
- Individual
- Name
- MR. Kevin Lee Thompson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 4, 2006
- Last Updated
- Apr 5, 2012
Practice Location
- Address
- 6302 13TH STREET
- City
- Lucerne
- State
- California
- ZIP Code
- 95458-8106
- Phone
- (707) 994-7090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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