Individual
JUSTIN L THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
381 4TH AVE, BETHEL, AK 99559
(907) 543-2242
(907) 543-1481
Mailing address
PO BOX 3227, BETHEL, AK 99559-3227
(907) 543-2242
(907) 543-1481
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/15/2019
Last updated
12/31/2020
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