Individual
CHRISTA TACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-INTERN
Contact information
Practice address
141 MORRISON ST, TWIN FALLS, ID 83301-5451
(208) 404-4248
Mailing address
141 MORRISON ST, TWIN FALLS, ID 83301-5451
(208) 404-4248
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7471447
ID
Other
Enumeration date
11/07/2025
Last updated
11/19/2025
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