CHRISTOPHER RYAN TACKETT

PIKEVILLE, KY
NPI1396320701
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-03-17
Last Update Date2021-03-17
Business Address
Mr. CHRISTOPHER RYAN TACKETT
400 VENTERS LN
PIKEVILLE, KY 41501-3016
Phone number: 606-653-1505
Mailing Address
Mr. CHRISTOPHER RYAN TACKETT
400 VENTERS LN
PIKEVILLE, KY 41501-3016
Phone number: 606-653-1505
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