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1942418231
MICHAEL WAYNE THOMPSON
SAN PABLO, CA
NPI
1942418231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA CAS 03077521)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL WAYNE THOMPSON CAS
2523 EL PORTAL DR STE 102
SAN PABLO, CA 94806-3305
Phone number: 510-374-3031
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Mailing Address
Mr. MICHAEL WAYNE THOMPSON CAS
2523 EL PORTAL DR STE 102
SAN PABLO, CA 94806-3305
Phone number: 510-374-3031
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