Individual
MS. MADISON ANN THACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2021 21ST AVE S STE 410, NASHVILLE, TN 37212-4350
(615) 492-6700
(615) 492-6710
Mailing address
2121 ACKLEN AVE APT 10, NASHVILLE, TN 37212-3514
(214) 773-0096
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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