Dian Tackett

NPI #1629520945 in Frisco, Colorado

Provider Information

NPI Number: 1629520945
Entity Type: Individual
Name: Dian Tackett
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Nov 3, 2016
Last Updated: Mar 26, 2019

Practice Location

Address: 360 PEAK ONE DR STE 110
City: Frisco
State: Colorado
ZIP Code: 80443
Phone: (970) 668-3478

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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