Individual provider · Type 1 NPI

Mary Thompson

Addiction (Substance Use Disorder) Counselor · Fort Worth, TX

NPI number 1669015590 Active

Practice location

6733 Camp Bowie Blvd
Fort Worth, TX 76116-7112

Fax (817) 386-9138

Mailing address

6009 Ed Coady Rd
Fort Worth, TX 76134-2502

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 1669015590

Mary Thompson's National Provider Identifier is 1669015590, issued on Oct 23, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Worth, TX. The record was last updated on Oct 23, 2019.