IZETTA THOMPSON NPI 1912768508

NPI Information

  • NPI: 1912768508
  • Provider Name: IZETTA THOMPSON
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 4705 N SONORA AVE STE 113
    FRESNO, CA
    ZIP 93722
  • Phone: (714) 366-1457

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NPI Details

Izetta Thompson is an addiction (substance use disorder) counselor in Fresno, CA. Izetta Thompson NPI is 1912768508. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4705 N SONORA AVE STE 113
FRESNO, CA
ZIP 93722-965
Phone: (714) 366-1457

The enumeration date for this NPI number is 1/19/2024 and was last updated on 3/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YA0400XCounselorAddiction (Substance Use Disorder)17522CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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