Provider Demographics
NPI:1598391757
Name:THOMSON, NATASCHA (LMFT)
Entity Type:Individual
Prefix:
First Name:NATASCHA
Middle Name:
Last Name:THOMSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1582
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-0158
Mailing Address - Country:US
Mailing Address - Phone:925-905-9014
Mailing Address - Fax:
Practice Address - Street 1:400 MAIN ST STE 200B
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-7070
Practice Address - Country:US
Practice Address - Phone:925-905-9014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-19
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA130130106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist