Individual
MR. COREY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
7675 MN HWY 13, SAVAGE, MN 55378
(952) 447-4344
(952) 447-4346
Mailing address
7975 JUNE AVE N, BROOKLYN PARK, MN 55443-2634
(320) 841-5549
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303349
MN
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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