Individual
MR. DEMETRIUS THOMPSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1974 WALTON NICHOLSON PIKE, INDEPENDENCE, KY 41051-7906
(859) 359-5404
(859) 359-0739
Mailing address
1974 WALTON NICHOLSON PIKE, INDEPENDENCE, KY 41051-7906
(859) 359-5404
(859) 359-0739
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
KY
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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