Stephanie Renee Tackett, R1447360121
Stephanie Renee Tackett, R1447360121 is an Addiction (Substance Use Disorder) Counselor in Bakersfield, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
1010 1/2 S Union AveBakersfield, CA 93307-3642
Phone: (661) 321-0234
Fax: (661) 321-9856
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence R1447631021 (CA) |
|---|
Record details
| NPI number | 1275293144 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | R1447360121 |
| Sole proprietor | Yes |
| NPI enumerated | December 20, 2021 |
| Last updated in NPPES | December 30, 2021 |
| Certification date | December 30, 2021 |
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