Provider Demographics
NPI:1497905582
Name:THOMPSON, HANELL
Entity Type:Individual
Prefix:MRS
First Name:HANELL
Middle Name:
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:HANELL
Other - Middle Name:
Other - Last Name:RIPPEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1910 CALIFORNIA ST
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-2870
Mailing Address - Country:US
Mailing Address - Phone:707-443-9747
Mailing Address - Fax:707-443-7277
Practice Address - Street 1:1910 CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-2870
Practice Address - Country:US
Practice Address - Phone:707-443-9747
Practice Address - Fax:707-443-7277
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker