Individual provider · Type 1 NPI
Lisa Tackett
Mental Health Counselor · Troy, MO
NPI number
1508267287
Active
Practice location
607 Wood Briar Dr
Troy, MO 63379-4961
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1508267287
Lisa Tackett's National Provider Identifier is 1508267287, issued on Sep 12, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Troy, MO. The record was last updated on Sep 22, 2014.