Individual provider · Type 1 NPI

Timothy Tackels, CP 00002256

Addiction (Substance Use Disorder) Counselor · Mount Vernon, WA

NPI number 1023465176 Active

Practice location

1601 E College Way
Mount Vernon, WA 98273-5612

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP 00002256 (WA)

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

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About NPI 1023465176

Timothy Tackels, CP 00002256's National Provider Identifier is 1023465176, issued on May 18, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mount Vernon, WA. The record was last updated on May 18, 2016.