Most Relevant Information
Provider Data
| NPI Number: | 1003302779 |
| Provider Name: | LISA JEAN MARIE THOMPSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/06/2018 |
| Last Updated: | 01/20/2022 |
Provider Practice Location
601 E FLORIDA AVE
HEMET
CA
925434335
Practice Location Phone/Fax
| Phone: | 9513911470 |
| Fax: |
Provider Mailing Location
601 E FLORIDA AVE
HEMET
CA
925434335
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |