Individual
MR. CHRISTOPHER RYAN TACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 VENTERS LN, PIKEVILLE, KY 41501-3016
(606) 653-1505
Mailing address
400 VENTERS LN, PIKEVILLE, KY 41501-3016
(606) 653-1505
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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