Individual provider · Type 1 NPI
Brent Parker Tanksley, LCDC
Addiction (Substance Use Disorder) Counselor · Jasper, TX
NPI number
1871004507
Active
Practice location
1501C S Wheeler St
Jasper, TX 75951-5103
Mailing address
1204 Jane Ave
Lufkin, TX 75901-1450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 13677 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
Other addiction (substance use disorder) counselor providers in Jasper
- David Scott Hughes, LCDCAddiction (Substance Use Disorder) Counselor Jasper, TX NPI 1275931792
- James Leo Begnaud, LCDCAddiction (Substance Use Disorder) Counselor Jasper, TX NPI 1477106896
- Karah Moccio, LCDCIAddiction (Substance Use Disorder) Counselor Jasper, TX NPI 1700385333
- Michael Cary, LCDCAddiction (Substance Use Disorder) Counselor Jasper, TX NPI 1851863682
About NPI 1871004507
Brent Parker Tanksley, LCDC's National Provider Identifier is 1871004507, issued on Oct 20, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jasper, TX. The record was last updated on Nov 29, 2021.