Individual provider · Type 1 NPI

Leslie Diane Thacker, LPC, PLPC

Mental Health Counselor · Olathe, KS

NPI number 1124378112 Active

Practice location

1115 E Park St
Olathe, KS 66061-3748

Call (913) 523-5676 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2012028041 (MO)
Mental Health Counselor 101YM0800X2324 (KS)

Mental Health Counselor: Definition to come...

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About NPI 1124378112

Leslie Diane Thacker, LPC, PLPC's National Provider Identifier is 1124378112, issued on Sep 17, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Olathe, KS. The record was last updated on Sep 17, 2012.