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Mr. John Thacker
Rehabilitation Counselor in Winston Salem, North Carolina
NPI 1457695298

John Thacker is a Rehabilitation Counselor based in Winston Salem, NC. John Thacker practices in Winston Salem, NC. The NPI Number for John Thacker is 1457695298 and holds a License No. 9455 (North Carolina).

The current practice location address for John Thacker is 741 Highland Ave, Winston Salem, NC and can be reached out via phone at 336-703-3751.

Location: 741 Highland Ave, Winston Salem, NC, 27101-4206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457695298
Provider Name
John Thacker
Credential
Provider Entity Type
Individual
Gender
Male
Address
741 Highland Ave, Winston Salem, NC, 27101-4206
Phone Number
336-703-3751
Fax Number
Provider Enumeration Date
11/17/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
741 Highland Ave
City
Winston Salem
State
North Carolina
Zip
27101-4206
Phone Number
336-703-3751
Fax Number
person
Provider Business Mailing Address Details
Address
741 Highland Ave
City
Winston Salem
State
North Carolina
Zip
27101-4206
Phone Number
336-703-3751
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
00115237 (North Carolina)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
20293 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
9455 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Counselor
Speciality
-
Taxonomy
225C00000X
License No.
9455 (North Carolina)
Definition
An individual trained and educated in a systematic process of assisting persons with physical, mental, developmental, cognitive, and emotional disabilities to achieve their personal, career, and independent living goals assessment and appraisal, diagnosis and treatment planning, career (vocational) counseling, individual and group counseling interventions for adjustments to the medical and psychosocial impact of disability, case management, program evaluation and research, job analysis and placement counseling, and consultation on rehabilitation resources and technology. Certification generally requires a Master's degree with specialized courses in rehabilitation processes and technology.
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