Keturah Tackett

NPI #1003158346 in Fallon, Nevada

Provider Information

NPI Number
1003158346
Entity Type
Individual
Name
Keturah Tackett
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Mar 25, 2013
Last Updated
Mar 25, 2013

Practice Location

Address
1490 GRIMES ST
City
Fallon
State
Nevada
ZIP Code
89406-3103
Phone
(775) 423-1412

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)
Rehabilitation Practitioner

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