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Timmy Thacker, CDCA
Addiction (Substance Use Disorder) Counselor in Marion, Ohio
NPI 1760844351

Timmy Thacker is an Addiction (Substance Use Disorder) Counselor based in Marion, OH and is specialized in Addiction (Substance Use Disorder). Timmy Thacker practices in Marion, OH and has the professional credentials of CDCA. The NPI Number for Timmy Thacker is 1760844351 and holds a License No. 150614 (Ohio).

The current practice location address for Timmy Thacker is 320 Executive Dr, Marion, OH and can be reached out via phone at 740-387-5210 and via fax at 740-383-3472.

Location: 320 Executive Dr, Marion, OH, 43302-6310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760844351
Provider Name
Timmy Thacker
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
320 Executive Dr, Marion, OH, 43302-6310
Phone Number
740-387-5210
Fax Number
740-383-3472
Provider Enumeration Date
03/23/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
320 Executive Dr
City
Marion
State
Ohio
Zip
43302-6310
Phone Number
740-387-5210
Fax Number
740-383-3472
person
Provider Business Mailing Address Details
Address
320 Executive Dr
City
Marion
State
Ohio
Zip
43302-6310
Phone Number
740-387-5210
Fax Number
740-383-3472
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
150614 (Ohio)
Definition
Definition to come...
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