MRS. Renita Joyce Tackett, LPCC

NPI #1003113648 in Pikeville, Kentucky

Provider Information

NPI Number: 1003113648
Entity Type: Individual
Name: MRS. Renita Joyce Tackett, LPCC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LPCC
Enumeration Date: Feb 17, 2011
Last Updated: Aug 20, 2015

Practice Location

Address: 146 CHURCH OF CHRIST WAY
Address 2: FORDS BRANCH CHURCH OF CRIST
City: Pikeville
State: Kentucky
ZIP Code: 41501-8944
Phone: (606) 213-7830

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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