KETURAH TACKETT
Counselor - Addiction (Substance Use Disorder)
Active
Individual
NPI: 1003158346
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | Yes | 00179-C (NV) |
| Rehabilitation Practitioner | 225400000X | No | - |
Frequently Asked Questions
NPI 1003158346 is the National Provider Identifier for KETURAH TACKETT, a Counselor - Addiction (Substance Use Disorder) provider located in Fallon, NV. This NPI was enumerated on March 25, 2013.
KETURAH TACKETT practices at 1490 GRIMES ST, Fallon, NV 89406.
Quick Facts
- NPI
- 1003158346
- Type
- Individual
- Enumerated
- Mar 25, 2013
- Last Updated
- Mar 25, 2013
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