Thacker, John
Thacker, John is an individual health care provider with primary practice located at 741 Highland Ave , Winston Salem NC 27101-4206. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Thacker, John can be contacted via phone (336) 703-3751.Contact Information
Primary practice address
741 Highland Ave
Winston Salem NC 27101-4206
Phone: (336) 703-3751
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 9455 | North Carolina |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 9455 | North Carolina |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 20293 | North Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor | 225C00000X | 00115237 | North Carolina |
Profile Details
| NPI number | 1457695298 |
|---|---|
| LBN Legal business name | Thacker, John |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2012 |
| Last updated | Mar 9th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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