Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Fredrick Jason Tackett, APS004051

Individual provider Mental Health Counselor · NPI 1235820051

Fredrick Jason Tackett, APS004051 is a Mental Health Counselor in Coal Grove, Ohio. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
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Practice location Address checks out

323 Marion Pike Ste 1
Coal Grove, OH 45638-2958
Phone: (740) 237-4981
Fax: (877) 325-2816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X
Mental Health Counselor Taxonomy 101YM0800X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1235820051
Entity typeIndividual (Type 1)
GenderMale
Credentials APS004051
Sole proprietorYes
NPI enumeratedMay 15, 2023
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023

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