Individual provider · Type 1 NPI

Phillip Thacker, BA

Mental Health Counselor · South Williamson, KY

NPI number 1659589216 Active

Practice location

140 Hospital Dr
South Williamson, KY 41503-4022

Call (606) 237-9873 Map

Fax (606) 237-9723

Mailing address

104 S Front Ave
Prestonsburg, KY 41653-1614

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1659589216

Phillip Thacker, BA's National Provider Identifier is 1659589216, issued on May 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Williamson, KY. The record was last updated on Jul 8, 2007.