| Doctor Name: | MS. TRACY ANN THOMPSON |
| NPI Number: | 1053538108 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CADC-I |
| License Number: | I2490607 |
| Business Practice Address: | 3201 Harbor Blvd Oxnard, CA - 93035 |
| Business Phone Number: | 3238216855 |
| Business Fax Number: | |
| Mailing Address: | 3201 Harbor Blvd, OXNARD |
| State: | CA |
| Postal Code: | 93035 |
| Phone Number: | 3238216855 |
| Fax Number: | |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 09/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | I2490607 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |