MICHAEL WAYNE THOMPSON

SAN PABLO, CA
NPI1942418231
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  CAS 03077521)
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
MR. MICHAEL WAYNE THOMPSON CAS
2523 EL PORTAL DR STE 102
SAN PABLO, CA 94806-3305
Phone number: 510-374-3031
Mailing Address
MR. MICHAEL WAYNE THOMPSON CAS
2523 EL PORTAL DR STE 102
SAN PABLO, CA 94806-3305
Phone number: 510-374-3031