Thompson, K'Saan Glenn

Thompson, K'Saan Glenn is an individual health care provider with primary practice located at 3184 S Heather Gardens Way , Denver CO 80014-3627. 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 / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Thompson, K'Saan Glenn can be contacted via phone (405) 421-4071.

Contact Information

Primary practice address
3184 S Heather Gardens Way Denver CO 80014-3627
Phone: (405) 421-4071
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1497282354
LBN Legal business name Thompson, K'Saan Glenn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2017
Last updated Oct 3rd, 2019 - about 5 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 1497282354 NPPES
Oklahoma MEDICAID 101YA0400X

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