Individual
MR. DEREK JAMES THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 JOHN ST, LOWELL, MA 01852-1101
(781) 388-6436
Mailing address
228 ARLINGTON ST, DRACUT, MA 01826-4017
(339) 223-8463
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042316924
—
MA
Enumeration date
06/04/2013
Last updated
06/04/2013
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