Individual
BARBARA ANN THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADAC
Contact information
Practice address
880 ANTHONY DR, SUITE 1, ANTHONY, NM 88021-9346
(575) 635-2182
Mailing address
PO BOX 1988, ANTHONY, NM 88021-1988
(575) 635-2182
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0112631
NM
Other
Enumeration date
08/20/2008
Last updated
08/20/2008
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