Individual
MR. JOHN DAKOTA THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MRC, LPCC
Contact information
Practice address
105 DIAGNOSTIC DR, SUITE B, FRANKFORT, KY 40601-6559
(502) 352-2208
(502) 352-2209
Mailing address
501 DARBY CREEK RD, SUITE 11, LEXINGTON, KY 40509-1604
(859) 338-0466
(859) 294-0802
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCPCC00195375
KY
Other
Enumeration date
01/11/2012
Last updated
08/11/2015
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