Individual provider · Type 1 NPI

Timmy Thacker, CDCA

Addiction (Substance Use Disorder) Counselor · Marion, OH

NPI number 1760844351 Active

Practice location

320 Executive Dr
Marion, OH 43302-6310

Call (740) 387-5210 Map

Fax (740) 383-3472

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X150614 (OH)

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

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About NPI 1760844351

Timmy Thacker, CDCA's National Provider Identifier is 1760844351, issued on Mar 23, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Marion, OH. The record was last updated on Mar 23, 2016.