# MYRNA SUE THATCHER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1780875443
- **Gender:** F
- **Credential:** LMFT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | LCMFT-053 | KS | — |
| 106H00000X | Marriage & Family Therapist | LMFT-2654 | ID | Yes |

## Other

- **Enumeration date:** 08/07/2007
- **Last updated:** 08/07/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000010158872 | REGENCE BLUE SHIELD | ID |