Individual provider · Type 1 NPI
Tammy Thompson, LCDC
Addiction (Substance Use Disorder) Counselor · Desoto, TX
NPI number
1053289959
Active
Practice location
1534 N Hampton Rd Ste C
Desoto, TX 75115-2505
Fax (972) 379-9933
Mailing address
7402 Lake Ridge Pkwy Apt 1422
Grand Prairie, TX 75054-0346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 17565 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1053289959
Tammy Thompson, LCDC's National Provider Identifier is 1053289959, issued on Oct 23, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Desoto, TX. The record was last updated on Oct 23, 2025.