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1508602731
KEIRSTAN TACKETT
PRESTONSBURG, KY
NPI
1508602731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2024-07-08
Last Update Date
2024-07-08
Business Address
KEIRSTAN TACKETT
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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Mailing Address
KEIRSTAN TACKETT
104 S FRONT AVE
PRESTONSBURG, KY 41653-1614
Phone number: 606-886-8572
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