MEDICARE: MICHELLE D 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	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1346108875
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE D THOMPSON

Provider Business Mailing Address
First Line	:	112 OAK ROCK CIR
Second Line	:
City	:	FOLSOM
State	:	CA
Zip	:	95630-2016
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3000 AUBURN BLVD STE A
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95821-1831
Country	:	US
Telephone Number	:	916-483-2154
Fax Number	:

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

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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