Individual provider · Type 1 NPI
Courtney Tackett
Mental Health Counselor · Gardner, MA
NPI number
1669928586
Active
Practice location
22 Watkins St
Gardner, MA 01440-1849
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 1669928586
Courtney Tackett's National Provider Identifier is 1669928586, issued on Aug 31, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gardner, MA. The record was last updated on Aug 31, 2016.