Thompson, Tommy
Thompson, Tommy is an individual health care provider with primary practice located at 2323 Stevenson Dr , Springfield IL 62703-4331. 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 / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Thompson, Tommy can be contacted via phone (217) 529-9266.Contact Information
Primary practice address
2323 Stevenson Dr
Springfield IL 62703-4331
Phone: (217) 529-9266
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 178014017 | Illinois |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 178014017 | Illinois |
Profile Details
NPI number | 1669930715 |
---|---|
LBN Legal business name | Thompson, Tommy |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 7th, 2019 |
Last updated | Mar 7th, 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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