STEPHANIE RENEE TACKETT

BAKERSFIELD, CA
NPI1275293144
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1447631021)
Enumeration Date2021-12-20
Last Update Date2021-12-30
Business Address
STEPHANIE RENEE TACKETT R1447360121
1010 1/2 S UNION AVE
BAKERSFIELD, CA 93307-3642
Phone number: 661-321-0234
Mailing Address
STEPHANIE RENEE TACKETT R1447360121
419 EL PRADO DR
BAKERSFIELD, CA 93304-3948
Phone number: 661-496-0656
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