Thackrey, Kristine Marie

Thackrey, Kristine Marie is an individual health care provider with primary practice located at 3611 S Dixie Hwy , Lima OH 45804-3750. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Thackrey, Kristine Marie can be contacted via phone (419) 999-2024.

Contact Information

Primary practice address
3611 S Dixie Hwy Lima OH 45804-3750
Phone: (419) 999-2024
Fax: (419) 999-2024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 933608 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X I5522 Ohio

Profile Details

NPI number 1497819916
LBN Legal business name Thackrey, Kristine Marie
Credentials LISW, LICDC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jul 8th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497819916 NPPES
Ohio Other 000000352379 ANTHEM BLUE CROSS AND BLU

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