Dawn Marie Thacker, PPC - Counselor in Shoshoni, WY

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Dawn Marie Thacker, PPC is a Counselor - Mental Health based in Shoshoni, Wyoming. Dawn Marie Thacker is licensed to practice in Wyoming (license number PPC-1656) and her current practice location is 2 Husky Pl, Shoshoni, Wyoming. She can be reached at her office (for appointments etc.) via phone at (307) 840-0209.

NPI number for Dawn Marie Thacker is 1528993904 and her current mailing address is 2 Husky Pl, Shoshoni, Wyoming. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528993904.

Contact Information

Dawn Marie Thacker, PPC
2 Husky Pl,
Shoshoni, WY 82649-8703
(307) 840-0209
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDawn Marie Thacker
GenderFemale
SpecialityCounselor - Mental Health
Location2 Husky Pl, Shoshoni, Wyoming
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1528993904
  • Provider Enumeration Date: 06/16/2026
  • Last Update Date: 06/16/2026

Medical Identifiers

Medical identifiers for Dawn Marie Thacker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528993904NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health PPC-1656 (Wyoming)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dawn Marie Thacker is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dawn Marie Thacker, PPC
2 Husky Pl,
Shoshoni, WY 82649-8703

Ph: (307) 840-0209		Dawn Marie Thacker, PPC
2 Husky Pl,
Shoshoni, WY 82649-8703

Ph: (307) 840-0209

Reviews and Comments


Counselor in Shoshoni, WY


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