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Lisa Tackett
Mental Health Counselor in Troy, Missouri
NPI 1508267287

Lisa Tackett is a Mental Health Counselor based in Troy, MO and is specialized in Mental Health. Lisa Tackett practices in Troy, MO. The NPI Number for Lisa Tackett is 1508267287 and holds a License No. (Missouri).

The current practice location address for Lisa Tackett is 607 Wood Briar Dr, Troy, MO and can be reached out via phone at 636-290-3401.

Location: 607 Wood Briar Dr, Troy, MO, 63379-4961
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508267287
Provider Name
Lisa Tackett
Credential
Provider Entity Type
Individual
Gender
Female
Address
607 Wood Briar Dr, Troy, MO, 63379-4961
Phone Number
636-290-3401
Fax Number
Provider Enumeration Date
09/12/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
607 Wood Briar Dr
City
Troy
State
Missouri
Zip
63379-4961
Phone Number
636-290-3401
Fax Number
person
Provider Business Mailing Address Details
Address
607 Wood Briar Dr
City
Troy
State
Missouri
Zip
63379-4961
Phone Number
636-290-3401
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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