Individual
DOLORES JENNIFER THACKRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1812 NEWPORT GAP PIKE, WILMINGTON, DE 19808-6179
(302) 500-5901
Mailing address
3 CALEB TER, WILMINGTON, DE 19805-1159
(302) 540-1178
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
CD-0010149
DE
Other
Enumeration date
11/09/2015
Last updated
02/03/2025
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