Thompson, Clarence Alley

Thompson, Clarence Alley is an sole proprietor health care provider with primary practice located at 225 4Th Ave #203, Venice CA 90291-8605. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Thompson, Clarence Alley can be contacted via phone (310) 396-1716.

Contact Information

Primary practice address
225 4Th Ave #203 Venice CA 90291-8605
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MFC 28772 Massachusetts

Profile Details

NPI number 1508282385
LBN Legal business name Thompson, Clarence Alley
Credentials M.F.C.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2014
Last updated Mar 17th, 2014 - about 10 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 1508282385 NPPES
California Other MFC 28772 COBRA

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