| George Randolph Thompson, | |
|
68 Harris-bushville Rd, Harris, NY 12742 | |
| (845) 397-0670 | |
| Not Available |
| Full Name | George Randolph Thompson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 68 Harris-bushville Rd, Harris, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164326484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 42832 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| George Randolph Thompson, 68 Harris-bushville Rd, Harris, NY 12742 Ph: (845) 397-0670 | George Randolph Thompson, 68 Harris-bushville Rd, Harris, NY 12742 Ph: (845) 397-0670 |
Karensa Lyn Mingione Jansen, LMHC Counselor Medicare: Accepting Medicare Assignments Practice Location: 68 Harris Bushville Road, Harris, NY 12742 Phone: 845-333-8909 Fax: 845-333-6980 |
Wendy Ann Daley, CASAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 68 Harris Bushville Rd, Harris, NY 12742 Phone: 845-397-0670 |