Individual
KYSHA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
309 CRUTCHFIELD ST, DURHAM, NC 27704-2754
(919) 797-2534
Mailing address
2513 COLEMAN LOOP RD, HILLSBOROUGH, NC 27278-9294
(919) 732-4853
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NC
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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