STEPHANIE R THACKER

SOUTH BEND, IN
NPI1881414308
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: IN  39005154A)
Enumeration Date2024-10-10
Last Update Date2025-03-24
Business Address
STEPHANIE R THACKER MA, LMHC
616 E COLFAX AVE STE 2
SOUTH BEND, IN 46617-2827
Phone number: 269-985-8217
Mailing Address
STEPHANIE R THACKER MA, LMHC
616 E COLFAX AVE STE 2
SOUTH BEND, IN 46617
Phone number: 269-985-8217
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