MR. Clarence Alley Thompson III, M.F.C.C.
NPI #1508282385 in Venice, California
Provider Information
- NPI Number
- 1508282385
- Entity Type
- Individual
- Name
- MR. Clarence Alley Thompson III, M.F.C.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- M.F.C.C.
- Enumeration Date
- Mar 17, 2014
- Last Updated
- Mar 17, 2014
Practice Location
- Address
- 225 4TH AVE
- Address 2
- #203
- City
- Venice
- State
- California
- ZIP Code
- 90291-8605
- Phone
- (310) 396-1716
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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