Provider Demographics
NPI:1871029876
Name:TOMPKINS, JOHN E III (MFCC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:E
Last Name:TOMPKINS
Suffix:III
Gender:M
Credentials:MFCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4377 1ST ST STE C
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94566-7185
Mailing Address - Country:US
Mailing Address - Phone:925-846-8653
Mailing Address - Fax:
Practice Address - Street 1:4377 1ST ST STE C
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94566-7185
Practice Address - Country:US
Practice Address - Phone:925-846-8653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7323101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor