Individual
MR. BEN THOMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., HHP
Contact information
Practice address
111 E. SANTA FE AVE, 3, SANTA FE, NM 87505-2681
(510) 332-4873
Mailing address
111 E. SANTA FE AVE, 3, SANTA FE, NM 87505-2681
(510) 332-4873
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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