Jason Adam Tackett
Jason Adam Tackett is a Counselor in Salt Lake City, Utah. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
831 S Green StSalt Lake City, UT 84102-3511
Phone: (801) 232-9108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1861147506 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 21, 2022 |
| Last updated in NPPES | February 21, 2022 |
| Certification date | February 21, 2022 |
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