Individual provider · Type 1 NPI

Desiree Thompson

Addiction (Substance Use Disorder) Counselor · Phoenix, OR

NPI number 1124552872 Active

Practice location

149 N Main St
Phoenix, OR 97535

Call (541) 535-4133 Map

Mailing address

149 N Main St.
Phoenix, OR 97535

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 1124552872

Desiree Thompson's National Provider Identifier is 1124552872, issued on Apr 19, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Phoenix, OR. The record was last updated on Apr 19, 2017.