MEDICARE: MRS. ALLISON H. H. THOMPSON LCSW, CADC, CCS

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	CAC6210	ME
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	CCS7631	ME
3	1041C0700X	Clinical Social Worker	LC13728	ME

General Provider Information

NPI Number	:	1437464781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ALLISON H. H. THOMPSON LCSW, CADC, CCS

Provider Business Mailing Address
First Line	:	178 COURT ST
Second Line	:
City	:	AUBURN
State	:	ME
Zip	:	04210-6917
Country	:	US
Telephone Number	:	207-358-9439
Fax Number	:	207-517-6263

Provider Business Practice Location Address
First Line	:	178 COURT ST
Second Line	:
City	:	AUBURN
State	:	ME
Zip	:	04210-6917
Country	:	US
Telephone Number	:	207-358-9439
Fax Number	:	207-517-6263

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

Provider Enumeration Date	:	08/11/2010
Last Update Date	:	01/14/2022

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