Individual provider · Type 1 NPI
Kristine Marie Thackrey, LISW, LICDC
Addiction (Substance Use Disorder) Counselor · Lima, OH
NPI number
1497819916
Active
Practice location
3611 S Dixie Hwy
Lima, OH 45804-3750
Fax (419) 999-2024
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 933608 (OH) |
| Clinical Social Worker | 1041C0700X | I5522 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1497819916
Kristine Marie Thackrey, LISW, LICDC's National Provider Identifier is 1497819916, issued on Dec 20, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lima, OH. The record was last updated on Sep 11, 2025.