Individual provider · Type 1 NPI
Joshua Wayne Tackett, CADCA
Addiction (Substance Use Disorder) Counselor · Somerset, KY
NPI number
1053170365
Active
Practice location
233 Parkers Mill Way # Usa
Somerset, KY 42503-4152
Mailing address
375 Canterbury Dr
Science Hill, KY 42553-7242
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 282467 (KY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1053170365
Joshua Wayne Tackett, CADCA's National Provider Identifier is 1053170365, issued on Mar 18, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Somerset, KY. The record was last updated on Mar 18, 2024.