Individual provider · Type 1 NPI

Izetta Thompson

Addiction (Substance Use Disorder) Counselor · Fresno, CA

NPI number 1912768508 Active

Practice location

4705 N Sonora Ave Ste 113
Fresno, CA 93722-3965

Call (714) 366-1457 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X17522 (CA)

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

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About NPI 1912768508

Izetta Thompson's National Provider Identifier is 1912768508, issued on Jan 19, 2024. 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 Mar 5, 2024.