Individual
STEPHEN H THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
5010 AUSTIN RD, HIXSON, TN 37343-5175
(423) 602-4393
Mailing address
1246 NORTHERN HILLS RD, HIXSON, TN 37343-3717
(423) 602-4393
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1076
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1076
LMFT
TN
01
—
FT-0010138
LMFT
DE
01
—
MFT001548
LMFT
GA
01
—
MT4610
LMFT
FL
Enumeration date
07/17/2006
Last updated
01/18/2024
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