Individual provider · Type 1 NPI
Slade F. Thackeray, LPC
Counselor · Dallas, OR
NPI number
1992460703
Active
Practice location
1151 SW Levens St
Dallas, OR 97338-2266
Fax (971) 357-2444
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | C8279 (OR) |
| Mental Health Counselor | 101YM0800X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1992460703
Slade F. Thackeray, LPC's National Provider Identifier is 1992460703, issued on Nov 5, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Dallas, OR. The record was last updated on May 28, 2024.