LISA TACKETT

Counselor - Mental Health

Active Individual
NPI: 1508267287

Practice Address

607 WOOD BRIAR DR
Troy, MO 63379

Phone: (636) 290-3401

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes -

Frequently Asked Questions

NPI 1508267287 is the National Provider Identifier for LISA TACKETT, a Counselor - Mental Health provider located in Troy, MO. This NPI was enumerated on September 12, 2014.
LISA TACKETT practices at 607 WOOD BRIAR DR, Troy, MO 63379.

Quick Facts

NPI
1508267287
Type
Individual
Enumerated
Sep 12, 2014
Last Updated
Sep 22, 2014

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