Most Relevant Information
Provider Data
| NPI Number: | 1003042789 |
| Provider Name: | KEVIN RANDOLPH THOMPSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/08/2009 |
| Last Updated: | 06/08/2009 |
Provider Practice Location
910 E OHIO AVE STE 104
ESCONDIDO
CA
920253439
Practice Location Phone/Fax
| Phone: | 7607457786 |
| Fax: | 7607451061 |
Provider Mailing Location
910 E OHIO AVE STE 104
ESCONDIDO
CA
920253439
Provider Mailing Phone/Fax
| Phone: | 7607457786 |
| Fax: | 7607451061 |