Provider Demographics
NPI:1588786065
Name:THOMPSON, STEFFAN (CAADAC)
Entity type:Individual
Prefix:
First Name:STEFFAN
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:CAADAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 HUGHES LN
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93304-4816
Mailing Address - Country:US
Mailing Address - Phone:661-932-4786
Mailing Address - Fax:
Practice Address - Street 1:610 4TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93304-2218
Practice Address - Country:US
Practice Address - Phone:661-631-8415
Practice Address - Fax:661-326-1602
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)