SLADE F THACKERAY

DALLAS, OR
NPI1992460703
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: OR  C8279)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2021-11-05
Last Update Date2024-05-28
Business Address
SLADE F THACKERAY LPC
1151 SW LEVENS ST
DALLAS, OR 97338-2266
Phone number: 503-910-6822
Mailing Address
SLADE F THACKERAY LPC
1151 SW LEVENS ST
DALLAS, OR 97338-2266
Phone number: 503-910-6822
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