person
Cory L Thacker, LPC
Mental Health Counselor in Nampa, Idaho
NPI 1174265664

Cory L Thacker is a Mental Health Counselor based in Nampa, ID and is specialized in Mental Health. Cory L Thacker practices in Nampa, ID and has the professional credentials of LPC. The NPI Number for Cory L Thacker is 1174265664 and holds a License No. 9457 (Idaho).

The current practice location address for Cory L Thacker is 220 10Th Ave S, Nampa, ID and can be reached out via phone at 208-468-0850 and via fax at 208-468-0851.

Location: 220 10Th Ave S, Nampa, ID, 83651-3832
person
Provider Profile Details
NPI Number
1174265664
Provider Name
Cory L Thacker
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
220 10Th Ave S, Nampa, ID, 83651-3832
Phone Number
208-468-0850
Fax Number
208-468-0851
Provider Enumeration Date
04/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
220 10Th Ave S
City
State
Zip
83651-3832
Phone Number
208-468-0850
Fax Number
208-468-0851
person
Provider Business Mailing Address Details
Address
220 10Th Ave S
City
State
Zip
83651-3832
Phone Number
208-468-0850
Fax Number
208-468-0851
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
9457 (Idaho)
Definition
Definition to come...
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