Individual provider · Type 1 NPI
John Lewis Thompson, SUDRC
Addiction (Substance Use Disorder) Counselor · Cotati, CA
NPI number
1548095722
Active
Practice location
420 E Cotati Ave
Cotati, CA 94931-4442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 12208 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1548095722
John Lewis Thompson, SUDRC's National Provider Identifier is 1548095722, issued on Sep 5, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cotati, CA. The record was last updated on Sep 5, 2024.