BRANDON TACKETT NPI 1326702572

NPI Information

Brandon Tackett is a peer specialist in Dayton, OH. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Brandon Tackett NPI is 1326702572. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

865 S PATTERSON BLVD
DAYTON, OH
ZIP 45402-624
Phone: (937) 966-4673

The enumeration date for this NPI number is 10/25/2021 and was last updated on 2/21/2024.

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:

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