Robert E Thacker JR., MA, IAADC,SAP

NPI #1902022320 in Ames, Iowa

Provider Information

NPI Number
1902022320
Entity Type
Individual
Name
Robert E Thacker JR., MA, IAADC,SAP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
MA, IAADC,SAP
Enumeration Date
Apr 17, 2007
Last Updated
Aug 29, 2013

Practice Location

Address
223 S. WALNUT AVE.
City
Ames
State
Iowa
ZIP Code
50010
Phone
(515) 233-1122

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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