Individual
COURTNEY TACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 WATKINS ST, GARDNER, MA 01440-1849
(978) 413-7875
Mailing address
22 WATKINS ST, GARDNER, MA 01440-1849
(978) 413-7875
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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