| Mr Demetrius Thompson Ii, | |
|
1974 Walton Nicholson Pike, Independence, KY 41051-7906 | |
| (859) 359-5404 | |
| (859) 359-0739 |
| Full Name | Mr Demetrius Thompson Ii |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1974 Walton Nicholson Pike, Independence, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235738105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Demetrius Thompson Ii, 1974 Walton Nicholson Pike, Independence, KY 41051-7906 Ph: (859) 359-5404 | Mr Demetrius Thompson Ii, 1974 Walton Nicholson Pike, Independence, KY 41051-7906 Ph: (859) 359-5404 |
Samantha M West, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1974 Walton Nicholson Pike, Independence, KY 41051 Phone: 800-805-6989 | |
Amanda Lee Flanagan, T-CDAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1974 Walton Nicholson Pike, Independence, KY 41051 Phone: 800-805-6989 | |
Ms. Diane Marie Lottman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1974 Walton Nicholson Pike, Independence, KY 41051 Phone: 859-359-5404 | |
Ryan Porter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1974 Nicholson Walton Pike, Independence, KY 41051 Phone: 859-359-5404 | |
Cynthia Ann Auer, TCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1974 Walton Nicholson Pike, Independence, KY 41051 Phone: 800-805-6989 | |
Shawnee Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1974 Walton Nicholson Pike, Independence, KY 41051 Phone: 859-359-5404 |