MARY TACKER, PHD, LMFT, LADC
Marriage & Family Therapist
Active
Individual
NPI: 1629269626
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes | 1490 (MN) |
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | 301691 (MN) |
Frequently Asked Questions
NPI 1629269626 is the National Provider Identifier for MARY TACKER, PHD, LMFT, LADC, a Marriage & Family Therapist provider located in St. Cloud, MN. This NPI was enumerated on August 5, 2007.
MARY TACKER, PHD, LMFT, LADC practices at 1406 6TH AVENUE NORTH, ST. CLOUD HOSPITAL, St. Cloud, MN 56303.
Quick Facts
- NPI
- 1629269626
- Type
- Individual
- Enumerated
- Aug 5, 2007
- Last Updated
- Jan 18, 2013
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