MEDICARE: NATALIA THOMPSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	101YM0800X	Mental Health Counselor
4	101YP2500X	Professional Counselor	3010	MN

General Provider Information

NPI Number	:	1194031898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIA THOMPSON

Provider Business Mailing Address
First Line	:	3000 QUARLES RD
Second Line	:
City	:	BROOKLYN CENTER
State	:	MN
Zip	:	55429-2248
Country	:	US
Telephone Number	:	202-524-0062
Fax Number	:

Provider Business Practice Location Address
First Line	:	731 7TH ST E STE 300
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55106-5048
Country	:	US
Telephone Number	:	202-524-0062
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2010
Last Update Date	:	08/05/2024

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Directions to “ NATALIA THOMPSON ” Practice Location

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