Misti Tackett is a Peer Specialist based in Ashland, KY. Misti Tackett practices in Grayson, KY. The NPI Number for Misti Tackett is 1912576612 and holds a License No. (Kentucky).
The current practice location address for Misti Tackett is 41 Cribbs Hl, Grayson, KY and can be reached out via phone at 606-475-0200.
Location: 41 Cribbs Hl, Grayson, KY, 41105-0790
Provider Profile Details
NPI Number
1912576612
Provider Name
Misti Tackett
Credential
Provider Entity Type
Individual
Gender
Female
Address
41 Cribbs Hl, Grayson, KY, 41105-0790
Phone Number
606-475-0200
Fax Number
Provider Enumeration Date
06/18/2021
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
41 Cribbs Hl
City
State
Zip
41143-7916
Phone Number
606-475-0200
Fax Number
Provider Business Mailing Address Details
Address
41 Cribbs Hl
City
State
Zip
41143-7916
Phone Number
606-475-0200
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
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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