Slade F Thackeray is a Counselor based in Dallas, OR. Slade F Thackeray practices in Dallas, OR. The NPI Number for Slade F Thackeray is 1992460703 and holds a License No. (Oregon).
The current practice location address for Slade F Thackeray is 607 Se Jefferson St, Dallas, OR and can be reached out via phone at 503-910-6822.
Location: 607 Se Jefferson St, Dallas, OR, 97338-2266
Provider Profile Details
NPI Number
1992460703
Provider Name
Slade F Thackeray
Credential
Provider Entity Type
Individual
Gender
Male
Address
607 Se Jefferson St, Dallas, OR, 97338-2266
Phone Number
503-910-6822
Fax Number
Provider Enumeration Date
11/05/2021
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
607 Se Jefferson St
City
State
Zip
97338-2025
Phone Number
503-910-6822
Fax Number
Provider Business Mailing Address Details
Address
607 Se Jefferson St
City
State
Zip
97338-2025
Phone Number
503-910-6822
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
R6961 (Oregon)
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.
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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