Individual
MS. ANN C. THACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCS
Contact information
Practice address
4810 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-6917
(910) 452-7370
(910) 798-5199
Mailing address
4810 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-6917
(910) 452-7370
(910) 798-5199
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S4961
NC
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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