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Bo Tackett
Peer Specialist in Portsmouth, Ohio
NPI 1760107536

Bo Tackett is a Peer Specialist based in Portsmouth, OH. Bo Tackett practices in Portsmouth, OH. The NPI Number for Bo Tackett is 1760107536 and holds a License No. 003536 (Ohio).

The current practice location address for Bo Tackett is 729 6Th St, Portsmouth, OH and can be reached out via phone at 740-876-8290 and via fax at 740-529-1205.

Location: 729 6Th St, Portsmouth, OH, 45662-4030
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760107536
Provider Name
Bo Tackett
Credential
Provider Entity Type
Individual
Gender
Female
Address
729 6Th St, Portsmouth, OH, 45662-4030
Phone Number
740-876-8290
Fax Number
740-529-1205
Provider Enumeration Date
10/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
729 6Th St
City
Portsmouth
State
Ohio
Zip
45662-4030
Phone Number
740-876-8290
Fax Number
740-529-1205
person
Provider Business Mailing Address Details
Address
729 6Th St
City
Portsmouth
State
Ohio
Zip
45662-4030
Phone Number
740-876-8290
Fax Number
740-529-1205
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
003536 (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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