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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 8 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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