Individual provider · Type 1 NPI

Vladimir Tackett

Addiction (Substance Use Disorder) Counselor · Waverly, OH

NPI number 1255186896 Active

Practice location

14574 US Highway 23
Waverly, OH 45690-9373

Call (740) 876-2260 Map

Mailing address

301 Lunbeck Rd
Chillicothe, OH 45601-8434

Specialties and licenses

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

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

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About NPI 1255186896

Vladimir Tackett's National Provider Identifier is 1255186896, issued on Apr 18, 2024. 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 Apr 18, 2024.