Provider Demographics
NPI:1609369362
Name:THOMPSON, KAY FRANCIS (AOD COUNSELOR)
Entity Type:Individual
Prefix:MS
First Name:KAY
Middle Name:FRANCIS
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:AOD COUNSELOR
Other - Prefix:MS
Other - First Name:KAY
Other - Middle Name:FRANCIS
Other - Last Name:LEWIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:N/A
Mailing Address - Street 1:785 BRANNAN ST APT 307
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-6239
Mailing Address - Country:US
Mailing Address - Phone:415-504-0758
Mailing Address - Fax:
Practice Address - Street 1:100 MASONIC AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-4415
Practice Address - Country:US
Practice Address - Phone:415-567-8370
Practice Address - Fax:415-351-4058
Is Sole Proprietor?:No
Enumeration Date:2018-06-07
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAR1245170317101YA0400X
CACI3480222101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)