Individual
KAREN THACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.P.C.
Contact information
Practice address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(720) 406-3625
Mailing address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(720) 406-3625
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6203
CO
390200000X
Student in an Organized Health Care Education/Training Program
6203
CO
Other
Enumeration date
04/14/2016
Last updated
08/23/2023
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