Individual provider · Type 1 NPI

Jerry Lloyd Tackett, IMHC

Mental Health Counselor · Vero Beach, FL

NPI number 1649496399 Active

About NPI 1649496399

Jerry Lloyd Tackett, IMHC's National Provider Identifier is 1649496399, issued on Apr 18, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vero Beach, FL. The record was last updated on Jul 8, 2007.