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:
Health care specialties
| Specialty | Code | License # | 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 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497282354 | NPPES |
| Oklahoma | MEDICAID | 101YA0400X |
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