Individual
RONALD THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
11630 SUTPHIN BLVD, JAMAICA, NY 11434-1527
(718) 734-2539
(718) 322-1880
Mailing address
311 E 175TH ST, BRONX, NY 10457-5859
(718) 960-7522
(718) 583-6439
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
35708
NY
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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