Individual
AUDREY WALTON THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 MAGNOLIA AVE, LONG BEACH, CA 90806-4521
(562) 218-1868
Mailing address
2101 MAGNOLIA AVE, LONG BEACH, CA 90806-4521
(562) 218-1868
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1463370322
CA
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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