Joshua Tackes, L.P.C.
NPI #1831544287 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1831544287
- Entity Type
- Individual
- Name
- Joshua Tackes, L.P.C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- L.P.C.
- Enumeration Date
- May 3, 2016
- Last Updated
- May 3, 2016
Practice Location
- Address
- 1230 CORPORATE CENTER DR STE 100
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066-4883
- Phone
- (262) 789-1191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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