| Doctor Name: | COLLEEN THOMPSON |
| NPI Number: | 1003298183 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCDP |
| License Number: | CDP00563 |
| Business Practice Address: | 268 Kingstown Rd Narragansett, RI - 028823237 |
| Business Phone Number: | 4017899390 |
| Business Fax Number: | 4017838155 |
| Mailing Address: | 268 Kingstown Rd, NARRAGANSETT |
| State: | RI |
| Postal Code: | 028823237 |
| Phone Number: | 4017899390 |
| Fax Number: | |
| NPI Enumeration Date: | 06/24/2015 |
| NPI Last Update Date: | 06/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | CDP00563 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |