Jonathan Thacker
NPI #1629841952 in Preston, Idaho
Provider Information
- NPI Number
- 1629841952
- Entity Type
- Individual
- Name
- Jonathan Thacker
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Oct 30, 2023
- Last Updated
- Oct 30, 2023
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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