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Individual

KRISTEN LEIGH THACKER

Active
Find providers by NPI
Individual

KRISTEN LEIGH THACKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.174239
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.162430
OH
163W00000X
Registered Nurse
Primary
98443
KY
163WP0808X
Psychiatric/Mental Health Registered Nurse
98443
WV

Other

Enumeration date
01/15/2021
Last updated
06/12/2025
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