Han Thacker, LCSW
Social Worker, Clinical in Oceanside, CA. Individual provider (NPI-1).
NPI number1669167201
StatusActive
Last updated in NPPESApr 10, 2023
Details
- NPI
- 1669167201
- Entity type
- Individual (NPI-1)
- Name
- Ms. Han Thacker
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2023
- Certification date
- Apr 10, 2023
- Last updated
- Apr 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
445 Los Arbolitos BlvdOceanside, CA 92058-1529
Phone 808-208-2056
Mailing address
445 Los Arbolitos BlvdOceanside, CA 92058-1529
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