Individual provider · Type 1 NPI
Mary Thacker, LPC
Mental Health Counselor · Spring, TX
NPI number
1578158317
Active
Practice location
2050 FM 2920 Rd
Spring, TX 77388-3400
Mailing address
245 FM 1488 Rd Apt 1606
Conroe, TX 77384-3953
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 81824 (TX) |
Mental Health Counselor: Definition to come...
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About NPI 1578158317
Mary Thacker, LPC's National Provider Identifier is 1578158317, issued on Mar 3, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Spring, TX. The record was last updated on Mar 3, 2021.