Individual
MR. CALVIN THOMPSON IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SCII
Contact information
Practice address
1328 2ND ST, SANTA MONICA, CA 90401-1122
(310) 394-6889
Mailing address
11308 GWYNNE AVE, NORWALK, CA 90650-1815
(562) 852-3377
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
67888
CA
Other
Enumeration date
09/08/2014
Last updated
11/12/2015
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