Addie Lashun Thompson in Acton - Addiction (substance Use Disorder)

Addie Lashun Thompson - NPI 1376761171

Addie Lashun Thompson is a Addiction (substance Use Disorder) in Acton, California. Addie Lashun Thompson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Addie Lashun Thompson is 1376761171. The last update date is 2007-07-08.

Addie Lashun Thompson's current location address is Po Box 25, Acton, California. You can contact this provider via phone number 6619458458 and fax number 6619458248. The mailing address for Addie Lashun Thompson is Po Box 25, Acton, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Addie Lashun Thompson
Address Po Box 25, Acton, California
Phone Number 6619458458
Fax Number 6619458248
Sole Proprietor N
Credentials R.A.S.I.

NPI Number Detail

NPI Number 1376761171
Provider Enumeration Date 2007-04-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 25
City Acton
State California (CA)
Post Code 935100025
Phone Number 6619458458
Fax Number 6619458248

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No RI-T05062916
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
6767 CA MEDI-CAL

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FAQs about Addie Lashun Thompson

What is the unique 10-digit identification code issued to Addie Lashun Thompson by the Centers for Medicare & Medicaid Services?

The Addie Lashun Thompson has been assigned the NPI (National Provider Identifier) 1376761171 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Addie Lashun Thompson is physically located?

The Addie Lashun Thompson is physically situated at the following address: Po Box 25, Acton, CA, 935100025.

What is Addie Lashun Thompson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Addie Lashun Thompson is Addiction (substance Use Disorder), and the corresponding taxonomy classification code for this specialized field is 101Ya0400X.

On what date did the Addie Lashun Thompson receive the assignment of its 1376761171 from the Centers for Medicare & Medicaid Services?

The Addie Lashun Thompson was issued its 1376761171 by the Centers for Medicare & Medicaid Services on 2007-04-24.

As of what date was the information pertaining to Addie Lashun Thompson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Addie Lashun Thompson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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