MISTI TACKETT

Peer Specialist

Active Individual
NPI: 1912576612

Practice Address

41 CRIBBS HL
Grayson, KY 41143

Phone: (606) 475-0200

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1912576612 is the National Provider Identifier for MISTI TACKETT, a Peer Specialist provider located in Grayson, KY. This NPI was enumerated on June 18, 2021.
MISTI TACKETT practices at 41 CRIBBS HL, Grayson, KY 41143.

Quick Facts

NPI
1912576612
Type
Individual
Enumerated
Jun 18, 2021
Last Updated
Jun 18, 2021

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