Individual
MS. BEVERLY ANN THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
540 N CALIFORNIA ST, STOCKTON, CA 95202-2117
(209) 464-4524
Mailing address
1255 DOVER LN, TRACY, CA 95377-7935
(925) 577-3962
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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