Individual
MICHAEL THACKERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1495 REMOUNT RD STE 3A, NORTH CHARLESTON, SC 29406-3320
(843) 882-6880
Mailing address
1495 REMOUNT RD STE 3A, NORTH CHARLESTON, SC 29406-3320
(843) 882-6880
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8875
SC
Other
Enumeration date
01/15/2025
Last updated
01/15/2025
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