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1992460703
SLADE F THACKERAY
DALLAS, OR
NPI
1992460703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: OR C8279)
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2021-11-05
Last Update Date
2024-05-28
Business Address
SLADE F THACKERAY LPC
1151 SW LEVENS ST
DALLAS, OR 97338-2266
Phone number: 503-910-6822
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Mailing Address
SLADE F THACKERAY LPC
1151 SW LEVENS ST
DALLAS, OR 97338-2266
Phone number: 503-910-6822
Copy
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