Mr. Jerry Lloyd Tackett, IMHC
Mr. Jerry Lloyd Tackett, IMHC is a Mental Health Counselor in Vero Beach, Florida. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
1145 12th StVero Beach, FL 32960-3718
Phone: (772) 559-8673
Fax: (772) 562-9451
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1649496399 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IMHC |
| Sole proprietor | Yes |
| NPI enumerated | April 18, 2007 |
| Last updated in NPPES | July 8, 2007 |
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