Individual provider · Type 1 NPI

Ryan Tackett

Mental Health Counselor · Seattle, WA

NPI number 1003647405 Active

Practice location

929 N 130th St
Seattle, WA 98133-7500

Call (253) 833-7444 Map

Mailing address

325 W Gowe St
Kent, WA 98032-5892

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMHCA.MC.70007900 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1003647405

Ryan Tackett's National Provider Identifier is 1003647405, issued on Aug 8, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Seattle, WA. The record was last updated on Aug 18, 2026.