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SLADE THACKERAY, LPC

LPC

Counselor

NPI: 1992460703Individual

Specialties, Licenses & Credentials

CounselorPrimary

Counselor

Code: 101Y00000X

C8279(OR)
Mental Health Counselor

Counselor — Mental Health

Code: 101YM0800X

Contact & Hours

Address
1151 SW LEVENS ST
DALLAS, OR 97338

Quick Facts

NPI
1992460703
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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