Individual
BETSY THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4411 N CEDAR AVE STE 108, FRESNO, CA 93726-2538
(559) 248-1548
(559) 248-1530
Mailing address
4411 N CEDAR AVE STE 108, FRESNO, CA 93726-2538
(559) 248-1548
(559) 248-1530
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100039AN
—
CA
Enumeration date
11/04/2016
Last updated
11/04/2016
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