Thompson, Brian
Thompson, Brian is an sole proprietor health care provider with primary practice located at 28202 Cabot Rd Ste 331 , Laguna Niguel CA 92677-1222. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Thompson, Brian can be contacted via phone (714) 398-5874.Contact Information
Primary practice address
28202 Cabot Rd Ste 331
Laguna Niguel CA 92677-1222
Phone: (714) 398-5874
Fax: (949) 248-2870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 154141-IV | California |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | LMFT104710 | California |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | IMF93907 | California |
Profile Details
| NPI number | 1235503533 |
|---|---|
| LBN Legal business name | Thompson, Brian |
| Credentials | IMF, CATC-IV |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 24th, 2015 |
| Last updated | Mar 19th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235503533 | NPPES |
| California | MEDICAID | LMFT104710 | |
| California | Other | LMFT104710 |
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