Individual provider · Type 1 NPI

Michael Thackery

Mental Health Counselor · North Charleston, SC

NPI number 1659182004 Active

Practice location

1495 Remount Rd Ste 3A
North Charleston, SC 29406-3320

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X8875 (SC)

Mental Health Counselor: Definition to come...

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About NPI 1659182004

Michael Thackery's National Provider Identifier is 1659182004, issued on Jan 15, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in North Charleston, SC. The record was last updated on Jan 15, 2025.