person
Destiny Marie Thompson, LSAA
Addiction (Substance Use Disorder) Counselor in Albuquerque, New Mexico
NPI 1679276562

Destiny Marie Thompson is an Addiction (Substance Use Disorder) Counselor based in Albuquerque, NM and is specialized in Addiction (Substance Use Disorder). Destiny Marie Thompson practices in Albuquerque, NM and has the professional credentials of LSAA. The NPI Number for Destiny Marie Thompson is 1679276562 and holds a License No. CTB-2022-0115 (New Mexico).

The current practice location address for Destiny Marie Thompson is 1711 Isleta Blvd Sw, Albuquerque, NM and can be reached out via phone at 505-717-2397.

Location: 1711 Isleta Blvd Sw, Albuquerque, NM, 87105-4635
person
Provider Profile Details
NPI Number
1679276562
Provider Name
Destiny Marie Thompson
Credential
LSAA
Provider Entity Type
Individual
Gender
Female
Address
1711 Isleta Blvd Sw, Albuquerque, NM, 87105-4635
Phone Number
505-717-2397
Fax Number
Provider Enumeration Date
03/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1711 Isleta Blvd Sw
City
State
Zip
87105-4635
Phone Number
505-717-2397
Fax Number
person
Provider Business Mailing Address Details
Address
1711 Isleta Blvd Sw
City
State
Zip
87105-4635
Phone Number
505-717-2397
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CTB-2022-0115 (New Mexico)
Definition
Definition to come...
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