Individual provider · Type 1 NPI

Shawna Thacker, CADC

Addiction (Substance Use Disorder) Counselor · Pikeville, KY

NPI number 1689066946 Active

Practice location

368 S Mayo Trl
Pikeville, KY 41501-1522

Fax (606) 437-0547

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XADCADC00216716 (KY)
Case Manager/Care Coordinator 171M00000XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1689066946

Shawna Thacker, CADC's National Provider Identifier is 1689066946, issued on Feb 24, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pikeville, KY. The record was last updated on Dec 15, 2015.