Timothy Tackels, CP 00002256
NPI #1023465176 in Mount Vernon, Washington
Provider Information
- NPI Number
- 1023465176
- Entity Type
- Individual
- Name
- Timothy Tackels, CP 00002256
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CP 00002256
- Enumeration Date
- May 18, 2016
- Last Updated
- May 18, 2016
Practice Location
- Address
- 1601 E COLLEGE WAY
- City
- Mount Vernon
- State
- Washington
- ZIP Code
- 98273-5612
- Phone
- (360) 848-8437
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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