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1578908265
JONATHAN TACKETT
SEVIERVILLE, TN
NPI
1578908265
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2013-05-08
Last Update Date
2013-05-08
Business Address
JONATHAN TACKETT BS
1104 FOXWOOD DR
SEVIERVILLE, TN 37862-6000
Phone number: 865-970-9800
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Mailing Address
JONATHAN TACKETT BS
1451 DOWELL SPRINGS BLVD
KNOXVILLE, TN 37909-2441
Phone number: 865-374-7123
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