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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SLADE F THACKERAY, LPC

Active

SLADE F THACKERAY, LPC is a Counselor healthcare provider located in DALLAS, Oregon. NPI 1992460703 is currently active in the NPPES registry. Verify at CMS.

Counselor · DALLAS, OR

Registration Details

NPI Number
1992460703
Provider Type
Individual
Gender
Male
NPI Issued
Nov 5, 2021 (4.7582032634882 yrs)
Last Updated
May 28, 2024
License
C8279 (OR)

Practice Information

Address
1151 SW LEVENS ST
DALLAS, OR, 973382266
Browse OR providers · Browse ZIP 97338
Phone
5039106822
Fax
9713572444
Primary Specialty
Counselor
101Y00000X
Additional Specialty
Mental Health Counselor

Other Counselor Providers in DALLAS, OR

Name Credential NPI
SCOTT ANDERSON 1912022690
MR. MICHAEL JOSEPH SEDLOCK NA 1487774436
KIMBERLY DAWN HOWARD QMHA 1013130137
TOMOKO GERSCH PH.D. 1265673339
MR. CHARLES M KENNEDY NCAC II 1730320805
MARI MEADOR BS 1275961633
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.