ROBERT E THACKER

AMES, IA
NPI1902022320
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA  10159)
Enumeration Date2007-04-17
Last Update Date2013-08-29
Business Address
-- ROBERT E THACKER MA, IAADC,SAP
223 S. WALNUT AVE.
AMES, IA 50010
Phone number: 515-233-1122
Mailing Address
-- ROBERT E THACKER MA, IAADC,SAP
223 S. WALNUT AVE.
AMES, IA 50010
Phone number: 515-233-1122
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