Individual provider · Type 1 NPI

Robert Carl Thompson

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1053882183 Active

Practice location

1028 Reno Ave
Modesto, CA 95351-1127

Call (209) 579-1103 Map

Fax (209) 578-1085

Mailing address

1100 Kansas Ave Ste B
Modesto, CA 95351-1596

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053882183

Robert Carl Thompson's National Provider Identifier is 1053882183, issued on Dec 16, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Modesto, CA. The record was last updated on Oct 16, 2019.