Jerrigail Tackett
NPI #1831754894 in West Liberty, Kentucky
Provider Information
- NPI Number
- 1831754894
- Entity Type
- Individual
- Name
- Jerrigail Tackett
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- May 6, 2019
- Last Updated
- May 6, 2019
Practice Location
- Address
- 767 MAIN ST
- City
- West Liberty
- State
- Kentucky
- ZIP Code
- 41472-1019
- Phone
- (606) 743-3139
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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