Individual
MR. JAMES TACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
114 BOSTON POST RD, 2ND FLOOR, WEST HAVEN, CT 06516-2043
(203) 931-4034
(203) 931-4068
Mailing address
114 BOSTON POST RD, 2ND FLOOR, WEST HAVEN, CT 06516-2043
(203) 931-4034
(203) 931-4068
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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