MINDY THACKER LPC
Individual Provider (NPI-1)
Active
Counselor, Professional
Provider Information
- NPI Number
1275478059- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LPC
- Status
- Active
Contact & Location
- Address
- 123 S THIRD AVE STE 1, SANDPOINT, ID, 838641358
- Phone
- (208) 691-4687
- Fax
- (208) 620-2306
Specialties & Taxonomies
Counselor, Professional
Primary License: ID #9061679