Individual provider · Type 1 NPI

Stacy Lynn Tackett

Addiction (Substance Use Disorder) Counselor · Waverly, OH

NPI number 1063146751 Active

Practice location

196 E Emmitt Ave
Waverly, OH 45690-1334

Call (740) 912-9499 Map

Mailing address

1174 Millers Ln
Waverly, OH 45690-9719

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1063146751

Stacy Lynn Tackett's National Provider Identifier is 1063146751, issued on Jul 11, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waverly, OH. The record was last updated on Jul 11, 2022.