Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Slade F Thackeray, LPC

Individual provider Counselor · NPI 1992460703

Slade F Thackeray, LPC is a Counselor in Dallas, Oregon. Licensed in Oregon. Registered with an NPI since 2021.

Licensed in
OR
In the registry since
2021
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

1151 SW Levens St
Dallas, OR 97338-2266
Phone: (503) 910-6822
Fax: (971) 357-2444
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence C8279 (OR)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1992460703
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedNovember 5, 2021
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024
Mailing address1151 Sw Levens St, Dallas, OR 97338-2266

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