Keturah Tackett
Rehabilitation Practitioner Addiction Counselor (Substance Use Disorder)
1490 Grimes St
Fallon
, Nevada 89406-3103
Keturah Tackett
Rehabilitation Practitioner Addiction Counselor (Substance Use Disorder)
1490 Grimes St
Fallon
, Nevada 89406-3103
(775) 423-4054
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Keturah Tackett
- Po Box 1240
- Fallon, NV
- Zip : 89407-1240
- Fax : (775) 423-4054
- Phone : (775) 423-1412
Second Address
- Keturah Tackett
- 1490 Grimes St
- Fallon, NV
- Zip : 89406-3103
- Fax : (775) 423-4054
- Phone : (775) 423-1412
Reviews
FAQs
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What type of doctor is Keturah Tackett
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Is Keturah Tackett a sole practitioner?
Is Keturah Tackett accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 00179-C | NV |
| N | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1003158346 |
|---|---|
| Provider Name | Keturah Tackett |
| First Address | Fallon, NV 89407-1240 |
| Second Address | Fallon, NV 89406-3103 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/03/2013 |
| Last Update Date | 25/03/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.