Individual provider · Type 1 NPI
Mindy Thacker, LPC
Professional Counselor · Sandpoint, ID
NPI number
1275478059
Active
Practice location
123 S Third Ave Ste 1
Sandpoint, ID 83864-1358
Fax (208) 620-2306
Mailing address
211 E Coeur D'alene Ave, Ste 102
Coeur D'alene, ID 83814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 9061679 (ID) |
Professional Counselor: Definition to come...
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About NPI 1275478059
Mindy Thacker, LPC's National Provider Identifier is 1275478059, issued on Apr 20, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Sandpoint, ID. The record was last updated on Apr 20, 2026.