Individual
JANNIE TACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3305 E HIGHLAND DR STE B, JONESBORO, AR 72401-6491
(870) 520-5015
(870) 520-5015
Mailing address
PO BOX 444, BAY, AR 72411-0444
(870) 613-1310
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1210095
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229154719
—
AR
Enumeration date
06/26/2007
Last updated
12/17/2025
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