Individual provider · Type 1 NPI

Jessica Tacker

Mental Health Counselor · Ketchikan, AK

NPI number 1114756020 Active

Practice location

2524 First Ave
Ketchikan, AK 99901-5804

Mailing address

PO Box 7475
Ketchikan, AK 99901-2475

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1114756020

Jessica Tacker's National Provider Identifier is 1114756020, issued on Jul 29, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ketchikan, AK. The record was last updated on Jul 29, 2024.