GREGORY THACKSTON

ATHENS, AL
NPI1780919050
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies104100000X Social Worker
Enumeration Date2009-10-05
Last Update Date2016-01-21
Business Address
-- GREGORY THACKSTON
1307 E ELM ST
ATHENS, AL 35611-5318
Phone number: 256-232-3661
Mailing Address
-- GREGORY THACKSTON
1316 SOMERVILLE RD SE SUITE 1
DECATUR, AL 35601-4305
Phone number: 256-260-7361
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