Individual provider · Type 1 NPI

Clarence Alley Thompson Iii, M.F.C.C.

Mental Health Counselor · Venice, CA

NPI number 1508282385 Active

Practice location

225 4th Ave, #203
Venice, CA 90291-8605

Call (310) 396-1716 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMFC 28772 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1508282385

Clarence Alley Thompson Iii, M.F.C.C.'s National Provider Identifier is 1508282385, issued on Mar 17, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Venice, CA. The record was last updated on Mar 17, 2014.