Individual provider · Type 1 NPI
Tishia Thacker
Mental Health Counselor · Prestonsburg, KY
NPI number
1093636375
Active
Practice location
104 S Front Ave
Prestonsburg, KY 41653-1614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1093636375
Tishia Thacker's National Provider Identifier is 1093636375, issued on Jul 23, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Prestonsburg, KY. The record was last updated on Jul 23, 2026.