NPI 1003158346

Keturah Tackett

Practitioner Addiction (Substance Use Disorder) Counselor Fallon, NV

Practice location

Address: 1490 Grimes St, Fallon, NV 89406-3103
Phone: (775) 423-1412
Fax: (775) 423-4054
Mailing address: PO Box 1240, Fallon, NV 89407-1240

Registered specialties (2)

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 00179-C (NV)

Other Counselor providers in Nevada →

Rehabilitation Practitioner

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

Other Rehabilitation Practitioner providers in Nevada →

Registry record

NPI: 1003158346
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Mar 2013
Record last updated: 25 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.