Individual provider · Type 1 NPI

Keturah Tackett

Addiction (Substance Use Disorder) Counselor · Fallon, NV

NPI number 1003158346 Active

Practice location

1490 Grimes St
Fallon, NV 89406-3103

Call (775) 423-1412 Map

Fax (775) 423-4054

Mailing address

PO Box 1240
Fallon, NV 89407-1240

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X00179-C (NV)
Rehabilitation Practitioner 225400000XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

47 other providers at this address

Other addiction (substance use disorder) counselor providers in Fallon

See all in Fallon →

About NPI 1003158346

Keturah Tackett's National Provider Identifier is 1003158346, issued on Mar 25, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fallon, NV. The record was last updated on Mar 25, 2013.