Individual
ROBERT B. THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
8945 VERGENNES ST SE, ADA, MI 49301-8901
(616) 643-0869
Mailing address
8945 VERGENNES ST SE, ADA, MI 49301-8901
(616) 643-0869
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
410364
MI
Other
Enumeration date
04/25/2015
Last updated
04/25/2015
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