Individual
TAMMY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
1534 N HAMPTON RD STE C, DESOTO, TX 75115-2505
(469) 225-9850
(972) 379-9933
Mailing address
7402 LAKE RIDGE PKWY APT 1422, GRAND PRAIRIE, TX 75054-0346
(817) 390-0285
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17565
TX
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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