Individual provider · Type 1 NPI

John Washington Thompson Jr.

Addiction (Substance Use Disorder) Counselor · Newark, CA

NPI number 1710654561 Active

Practice location

6330 Thornton Ave
Newark, CA 94560-3734

Mailing address

10873 Packard St
Oakland, CA 94603-3260

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XR1437370721 (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1710654561

John Washington Thompson Jr.'s National Provider Identifier is 1710654561, issued on Aug 27, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Newark, CA. The record was last updated on Aug 30, 2021.