Individual
DAWN MARIE THACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PPC
Contact information
Practice address
2 HUSKY PL, SHOSHONI, WY 82649-8703
(307) 840-0209
Mailing address
2 HUSKY PL, SHOSHONI, WY 82649-8703
(307) 840-0209
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PPC-1656
WY
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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