Provider Demographics
NPI:1003618703
Name:THOMPSON, CHRISTOPHER ADAM
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:ADAM
Last Name:THOMPSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:TN
Mailing Address - Zip Code:37763-6310
Mailing Address - Country:US
Mailing Address - Phone:423-371-0060
Mailing Address - Fax:423-371-0060
Practice Address - Street 1:151 RIVER RD
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:TN
Practice Address - Zip Code:37763-6310
Practice Address - Country:US
Practice Address - Phone:423-371-0060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician