John Lewis Thompson, SUDRC

NPI #1548095722 in Cotati, California

Provider Information

NPI Number: 1548095722
Entity Type: Individual
Name: John Lewis Thompson, SUDRC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: SUDRC
Enumeration Date: Sep 5, 2024
Last Updated: Sep 5, 2024

Practice Location

Address: 420 E COTATI AVE
City: Cotati
State: California
ZIP Code: 94931-4442
Phone: (707) 795-4336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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