Mr. John Thacker
Mr. John Thacker is a Mental Health Counselor in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.
- Licensed in
- NC
- In the registry since
- 2012
- Specialties on file
- 4
Practice location Address checks out
741 Highland AveWinston Salem, NC 27101-4206
Phone: (336) 703-3751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 9455 (NC) |
|---|---|
| Counselor | Taxonomy 101Y00000X · Licence 9455 (NC) |
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 20293 (NC) |
| Rehabilitation Counselor | Taxonomy 225C00000X · Licence 00115237 (NC) |
Record details
| NPI number | 1457695298 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 17, 2012 |
| Last updated in NPPES | March 9, 2016 |
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