Fredrick Jason Tackett, APS.004051
NPI #1235820051 in Coal Grove, Ohio
Provider Information
- NPI Number
- 1235820051
- Entity Type
- Individual
- Name
- Fredrick Jason Tackett, APS.004051
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Credential
- APS.004051
- Enumeration Date
- May 15, 2023
- Last Updated
- Jun 12, 2023
Practice Location
- Address
- 323 MARION PIKE STE 1
- City
- Coal Grove
- State
- Ohio
- ZIP Code
- 45638-2958
- Phone
- (740) 237-4981
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Case Manager/Care Coordinator |
| Peer Specialist |
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