NPI 1629269626

Mary Kaye Tacker, PHDLMFTLADC

Practitioner Marriage & Family Therapist St. Cloud, MN

Practice location

Address: 1406 6th Avenue North St. Cloud Hospital, St. Cloud, MN 56303-1901
Phone: (320) 251-2700
Fax: (320) 229-5109
Mailing address: 1900 Centracare Cir # 2475 Centra Care Health Plaza, Saint Cloud, MN 56303-5000

Registered specialties (2)

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 1490 (MN)

Other Marriage & Family Therapist providers in Minnesota →

Addiction (Substance Use Disorder) Counselor

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 301691 (MN)

Other Counselor providers in Minnesota →

Registry record

NPI: 1629269626
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Aug 2007
Record last updated: 18 Jan 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.