SLADE THACKERAY, LPC

Counselor

Active Individual
NPI: 1992460703

Practice Address

1151 SW LEVENS ST
Dallas, OR 97338

Phone: (503) 910-6822

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes C8279 (OR)
Counselor - Mental Health 101YM0800X No -

Frequently Asked Questions

NPI 1992460703 is the National Provider Identifier for SLADE THACKERAY, LPC, a Counselor provider located in Dallas, OR. This NPI was enumerated on November 5, 2021.
SLADE THACKERAY, LPC practices at 1151 SW LEVENS ST, Dallas, OR 97338.

Quick Facts

NPI
1992460703
Type
Individual
Enumerated
Nov 5, 2021
Last Updated
May 28, 2024

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