Doctor Name: | KENNETH A THOMPSON |
NPI Number: | 1679715338 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 86 |
Business Practice Address: | 401 W International Airport Rd Ste 17 Anchorage, AK - 995181168 |
Business Phone Number: | 9077703656 |
Business Fax Number: | |
Mailing Address: | 401 W International Airport Rd Ste 17, ANCHORAGE |
State: | AK |
Postal Code: | 995181168 |
Phone Number: | 9077703656 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2009 |
NPI Last Update Date: | 03/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 86 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |