Timmy Thacker, CDCA
Timmy Thacker, CDCA is an Addiction (Substance Use Disorder) Counselor in Marion, Ohio. Licensed in Ohio. Registered with an NPI since 2016.
- Licensed in
- OH
- In the registry since
- 2016
Practice location Address checks out
320 Executive DrMarion, OH 43302-6310
Phone: (740) 387-5210
Fax: (740) 383-3472
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 150614 (OH) |
|---|
Record details
| NPI number | 1760844351 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CDCA |
| Sole proprietor | No |
| NPI enumerated | March 23, 2016 |
| Last updated in NPPES | March 23, 2016 |
| Mailing address | 320 Executive Dr, Marion, OH 43302-6310 |
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Kathy Steele, CDCA
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-
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Meghan Stose, LCDCII
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Bryan Tuttle
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