TIMOTHY J TACKETT

GAINESVILLE, FL
NPI1861050247
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  MH21312)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2019-05-31
Last Update Date2022-09-27
Business Address
TIMOTHY J TACKETT LMHC
4300 SW 13TH ST
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
Mailing Address
TIMOTHY J TACKETT LMHC
4300 SW 13TH ST # 2
GAINESVILLE, FL 32608-4006
Phone number: 352-374-5600
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