Search › Idaho › Clinical Social Worker
Jonathan Thacker
NPI 1629841952 · on the registry since 2023 · sole proprietor
Practice
- Address
- 75 S 1st W
Preston, ID 83263 - Phone
- (208) 852-2370
- Organisation at this address
- Priestley Mental Health Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-30
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