Individual provider · Type 1 NPI

Legger Thomas Thompson Jr., 17131 EXP 1-10-25

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1629639844 Active

Practice location

4759 E Olive Ave Ste 102
Fresno, CA 93702-1700

Call (559) 538-0251 Map

Mailing address

2072 N Marks Ave Apt 101
Fresno, CA 93722-6512

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XSUDCR17131 (CA)

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

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About NPI 1629639844

Legger Thomas Thompson Jr., 17131 EXP 1-10-25's National Provider Identifier is 1629639844, issued on Jun 27, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fresno, CA. The record was last updated on Aug 19, 2025.