Individual provider · Type 1 NPI

Judith Tacker

Mental Health Counselor · Ketchikan, AK

NPI number 1497599088 Active

Practice location

2514 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 1497599088

Judith Tacker's National Provider Identifier is 1497599088, issued on Jun 19, 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 Jun 19, 2024.