Individual
MR. MICHAEL DOUGLAS TOMPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
1650 HWY 18 SOUTH, SPARTA, NC 28675-8478
(336) 372-4095
(828) 262-5687
Mailing address
895 STATE FARM RD, SUITE 508, BOONE, NC 28607-4917
(336) 372-4095
(828) 262-5687
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
66
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111829
—
NC
Enumeration date
03/01/2006
Last updated
07/09/2007
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