Individual
MRS. RENITA JOYCE TACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
146 CHURCH OF CHRIST WAY, FORDS BRANCH CHURCH OF CRIST, PIKEVILLE, KY 41501-8944
(606) 213-7830
Mailing address
155 LITTLE CREEK ROAD, PIKEVILLE, KY 41501
(606) 639-2969
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
KY1031
KY
Other
Enumeration date
02/17/2011
Last updated
08/20/2015
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