Individual
MR. ALLEN B TACKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
607 INGLESIDE AVE, ATHENS, TN 37303-3749
(423) 745-8942
Mailing address
1640 WARD RD, DECATUR, TN 37322-4801
(423) 667-7015
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2408
TN
Other
Enumeration date
12/23/2008
Last updated
12/23/2008
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