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Individual

MINDY THACKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
123 S THIRD AVE STE 1, SANDPOINT, ID 83864-1358
(208) 691-4687
(208) 620-2306
Mailing address
211 E COEUR D'ALENE AVE, STE 102, COEUR D'ALENE, ID 83814
(208) 699-6817
(208) 620-2306

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9061679
ID

Other

Enumeration date
04/20/2026
Last updated
04/20/2026
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