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Individual

MS. PATRICIA IRENE THOMPSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., LAC

Contact information

Practice address
4485 WADSWORTH BLVD STE 206, WHEAT RIDGE, CO 80033-3310
(719) 349-0742
Mailing address
4485 WADSWORTH BLVD STE 206, WHEAT RIDGE, CO 80033-3310
(719) 349-0742

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0000650
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0000650
CO
101YP1600X
Pastoral Counselor
7099
CO
225700000X
Massage Therapist
MT.0003394
CO
225700000X
Massage Therapist
N/A
CO

Other

Enumeration date
05/13/2008
Last updated
01/20/2026
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