JERENY S TACKETT

PIKEVILLE, KY
NPI1184794125
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2006-11-08
Last Update Date2023-05-24
Business Address
JERENY S TACKETT BA MHA
7160 N MAYO TRL
PIKEVILLE, KY 41501-3151
Phone number: 606-657-9988
Mailing Address
JERENY S TACKETT BA MHA
7160 N MAYO TRL
PIKEVILLE, KY 41501-3151
Phone number: 606-657-9988
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