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General NPI Number Information
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NPI Number | 1396601795
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Entity Type | Organization
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Legal Business Name | ARIADNE THOMPSON FAMILY COUNSELING SERVICES PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 2428 DWIGHT WAY STE 1
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City | BERKELEY
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State | CA
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Zip | 94704-3503
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Country | US
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Telephone | 415-513-7769
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Fax |
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Provider Business Mailing Address
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Address Line | 2428 DWIGHT WAY STE 1
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City | BERKELEY
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State | CA
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Zip | 94704-3503
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ARIADNE THOMPSON
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Credential |
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Telephone | 415-513-7769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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