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Individual
DR. JOHN ALBERT THOMPSON
Active
Individual
DR. JOHN ALBERT THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, LCSW, CASAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
30567
NY
1041C0700X
Clinical Social Worker
Primary
085836
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085836
LCSW
NY
01
—
30567
CASAC
NY
Enumeration date
06/11/2014
Last updated
02/23/2020
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