Organization
ELIZABETH THOMPSON
Active
Organization
ELIZABETH THOMPSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH THOMPSON MFT (MARRIAGE FAMILY THERAPIST)
(209) 565-0756
Entity
Organization
Contact information
Practice address
149 W STADIUM DR, STOCKTON, CA 95204-3117
(209) 565-0756
Mailing address
149 1/2 W STADIUM DR, STOCKTON, CA 95204-3117
(209) 565-0756
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
40957
CA
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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