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Individual

RICKY LYNN THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
3131 W 14TH AVE, DENVER, CO 80204-2203
(720) 370-0339
Mailing address
3131 W 14TH AVE, DENVER, CO 80204-2203
(720) 370-0339

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0001941
CO
101YM0800X
Mental Health Counselor
ACD.0001941
CO

Other

Enumeration date
04/18/2022
Last updated
04/18/2022
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