NPI | 1396893848 |
---|---|
Doing Business As | ANN C THACKER |
Entity Type | Organization |
Authorized Contact | ANN C THACKER Licensed Professional Counselor 910-452-7370 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: NC 4961) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2020-08-22 |