Individual
MATTHEW THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
1412 SWEET HOME RD, AMHERST, NY 14228-2795
(716) 884-0888
Mailing address
97 AKRON ST, LOCKPORT, NY 14094-5121
(716) 438-8908
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
38186
NY
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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