NPI | 1134316557 |
---|---|
Professional Name | FRANKIE TACK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS 675) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NC LPC 2763) |
Enumeration Date | 2007-09-30 |
Last Update Date | 2010-09-09 |