Individual provider · Type 1 NPI

Stephanie Renee Tackett, R1447360121

Addiction (Substance Use Disorder) Counselor · Bakersfield, CA

NPI number 1275293144 Active

Practice location

1010 1/2 S Union Ave
Bakersfield, CA 93307-3642

Call (661) 321-0234 Map

Fax (661) 321-9856

Mailing address

419 El Prado Dr
Bakersfield, CA 93304-3948

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1447631021 (CA)

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

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About NPI 1275293144

Stephanie Renee Tackett, R1447360121's National Provider Identifier is 1275293144, issued on Dec 20, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bakersfield, CA. The record was last updated on Dec 30, 2021.