STEPHANIE RENEE TACKETT R1447360121 NPI 1275293144

NPI Information

NPI: 1275293144
Provider Name: STEPHANIE RENEE TACKETT, R1447360121
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1010 1/2 S UNION AVE
BAKERSFIELD, CA
ZIP 93307
Phone: (661) 321-0234
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Stephanie Renee Tackett, R1447360121 is an addiction (substance use disorder) counselor in Bakersfield, CA. Stephanie Renee Tackett, R1447360121 NPI is 1275293144. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1010 1/2 S UNION AVE
BAKERSFIELD, CA
ZIP 93307-642
Phone: (661) 321-0234
Fax: (661) 321-9856

The enumeration date for this NPI number is 12/20/2021 and was last updated on 12/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	R1447631021	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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