Provider Demographics
NPI:1336487073
Name:THOMPSON, MICHAEL E (MED, MHCAL, CMHC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:E
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:MED, MHCAL, CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 N WINSTON DR
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-7564
Mailing Address - Country:US
Mailing Address - Phone:509-499-6956
Mailing Address - Fax:
Practice Address - Street 1:6201 N WINSTON DR
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-7564
Practice Address - Country:US
Practice Address - Phone:509-499-6956
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-30
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health