CORY L THACKER

NAMPA, ID
NPI1174265664
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: ID  9457)
Enumeration Date2022-04-13
Last Update Date2023-04-10
Business Address
CORY L THACKER LPC
220 10TH AVE S
NAMPA, ID 83651-3832
Phone number: 208-468-0850
Mailing Address
CORY L THACKER LPC
220 10TH AVE S
NAMPA, ID 83651-3832
Phone number:
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