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Cory Thacker, LPC

NPI 1174265664 · on the registry since 2022 · sole proprietor

Practice

Address
220 10th Ave S
Nampa, ID 83651
Phone
(208) 468-0850
Fax
(208) 468-0851
Organisation at this address
Community Counseling Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-04-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho