MICHAEL THOMPSON

UPLAND, CA
NPI1033741624
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  Aii051450218)
Enumeration Date2020-02-11
Last Update Date2020-07-14
Business Address
MICHAEL THOMPSON
239 W 9TH ST
UPLAND, CA 91786-5979
Phone number: 909-981-6121
Mailing Address
MICHAEL THOMPSON
239 W 9TH ST
UPLAND, CA 91786-5979
Phone number: 909-981-6121