Individual
DEREK THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9720 S TACOMA WAY, LAKEWOOD, WA 98499-4456
(253) 503-3666
Mailing address
15 OREGON AVE STE 308, TACOMA, WA 98409-7462
(253) 304-7753
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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