ROBERTO THOMPSON

NOGALES, AZ
NPI1538221031
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC 11617)
Enumeration Date2006-12-14
Last Update Date2007-07-08
Business Address
-- ROBERTO THOMPSON LISAC HS OR GED
32 BOULEVARD DEL REY DAVID
NOGALES, AZ 85621-9667
Phone number: 520-281-9189
Mailing Address
-- ROBERTO THOMPSON LISAC HS OR GED
489 N ARROYO BLVD
NOGALES, AZ 85621-2644
Phone number: 520-287-4713