Individual provider · Type 1 NPI

Fredrick Jason Tackett, APS.004051

Peer Specialist · Coal Grove, OH

NPI number 1235820051 Active

Practice location

323 Marion Pike Ste 1
Coal Grove, OH 45638-2958

Call (740) 237-4981 Map

Fax (877) 325-2816

Mailing address

117 N 4th St
Ironton, OH 45638-1403

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1235820051

Fredrick Jason Tackett, APS.004051's National Provider Identifier is 1235820051, issued on May 15, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Coal Grove, OH. The record was last updated on Jun 12, 2023.