Individual
DEMETRIOUS THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1336 N PORTAGE PATH, AKRON, OH 44313-5861
(980) 423-9568
Mailing address
1336 N PORTAGE PATH, AKRON, OH 44313-5861
(980) 423-9568
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
RT390668
OH
101YM0800X
Mental Health Counselor
RT390668
OH
171W00000X
Contractor
RT390668
OH
172A00000X
Driver
Primary
RT390668
OH
261QA0600X
Adult Day Care Clinic/Center
—
—
3747P1801X
Personal Care Attendant
RT390668
OH
Other
Enumeration date
10/22/2024
Last updated
11/18/2024
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