Thompson, Destiny Marie
Thompson, Destiny Marie is an individual health care provider with primary practice located at 1711 Isleta Blvd Sw , Albuquerque NM 87105-4635. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Thompson, Destiny Marie can be contacted via phone (505) 717-2397.Contact Information
Primary practice address
1711 Isleta Blvd Sw
Albuquerque NM 87105-4635
Phone: (505) 717-2397
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CTB-2022-0115 | New Mexico |
Profile Details
| NPI number | 1679276562 |
|---|---|
| LBN Legal business name | Thompson, Destiny Marie |
| Credentials | LSAA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2023 |
| Last updated | Mar 22nd, 2023 - about 3 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.
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