Thompson, Brian

Thompson, Brian is an sole proprietor health care provider with primary practice located at 28202 Cabot Rd Ste 331 , Laguna Niguel CA 92677-1222. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Thompson, Brian can be contacted via phone (714) 398-5874.

Contact Information

Primary practice address
28202 Cabot Rd Ste 331 Laguna Niguel CA 92677-1222
Phone: (714) 398-5874
Fax: (949) 248-2870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 154141-IV California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT104710 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X IMF93907 California

Profile Details

NPI number 1235503533
LBN Legal business name Thompson, Brian
Credentials IMF, CATC-IV
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2015
Last updated Mar 19th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235503533 NPPES
California MEDICAID LMFT104710
California Other LMFT104710

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