Individual
DION DAVID THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAADC-DMS
Contact information
Practice address
2677 ZOE AVE STE 304, HUNTINGTON PARK, CA 90255-3699
(323) 346-0960
Mailing address
2267 ZOE AVE SUITE #304, HUNTINGON PARK, CA 90255
(323) 346-0960
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C1782798
CA
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CAADC-DMS
MEDI-CAL
CA
Enumeration date
12/19/2016
Last updated
08/30/2021
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