MS. Leslie Diane Thacker, LPC, PLPC

NPI #1124378112 in Olathe, Kansas

Provider Information

NPI Number
1124378112
Entity Type
Individual
Name
MS. Leslie Diane Thacker, LPC, PLPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
LPC, PLPC
Enumeration Date
Sep 17, 2012
Last Updated
Sep 17, 2012

Practice Location

Address
1115 E PARK ST
City
Olathe
State
Kansas
ZIP Code
66061-3748
Phone
(913) 523-5676

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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