Individual
MRS. ERICA LA'SHAE THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, T-CADC, TCM
Contact information
Practice address
255 CHURCH ST STE 100, PIKEVILLE, KY 41501-3499
(606) 432-5660
(606) 432-2738
Mailing address
255 CHURCH ST STE 100, PIKEVILLE, KY 41501-3499
(606) 432-5660
(606) 432-2738
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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