Individual
ANDREW THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
623 GREAT JONES ST, FAIRFIELD, CA 94533-6005
(707) 664-7798
Mailing address
623 GREAT JONES ST, FAIRFIELD, CA 94533-6005
(707) 664-7798
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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