Individual
AMANDA THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
10877 CONDUCTOR BLVD STE 300, SUTTER CREEK, CA 95685-9688
(209) 223-6413
Mailing address
10877 CONDUCTOR BLVD STE 300, SUTTER CREEK, CA 95685-9688
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37860
CA
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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