person
Stephanie Renee Tackett, R1447360121
Addiction (Substance Use Disorder) Counselor in Bakersfield, California
NPI 1275293144

Stephanie Renee Tackett is an Addiction (Substance Use Disorder) Counselor based in Bakersfield, CA and is specialized in Addiction (Substance Use Disorder). Stephanie Renee Tackett practices in Bakersfield, CA and has the professional credentials of R1447360121. The NPI Number for Stephanie Renee Tackett is 1275293144 and holds a License No. R1447631021 (California).

The current practice location address for Stephanie Renee Tackett is 1010 1/2 S Union Ave, Bakersfield, CA and can be reached out via phone at 661-321-0234 and via fax at 661-321-9856.

Location: 1010 1/2 S Union Ave, Bakersfield, CA, 93304-3948
person
Provider Profile Details
NPI Number
1275293144
Provider Name
Stephanie Renee Tackett
Credential
R1447360121
Provider Entity Type
Individual
Gender
Female
Address
1010 1/2 S Union Ave, Bakersfield, CA, 93304-3948
Phone Number
661-321-0234
Fax Number
661-321-9856
Provider Enumeration Date
12/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1010 1/2 S Union Ave
City
State
Zip
93307-3642
Phone Number
661-321-0234
Fax Number
661-321-9856
person
Provider Business Mailing Address Details
Address
1010 1/2 S Union Ave
City
State
Zip
93307-3642
Phone Number
661-321-0234
Fax Number
661-321-9856
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1447631021 (California)
Definition
Definition to come...
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