| Keturah Tackett, | |
|
1490 Grimes St, Fallon, NV 89406-3103 | |
| (775) 423-1412 | |
| (775) 423-4054 |
| Full Name | Keturah Tackett |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1490 Grimes St, Fallon, Nevada |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003158346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 00179-C (Nevada) | Primary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Keturah Tackett, Po Box 1240, Fallon, NV 89407-1240 Ph: (775) 423-1412 | Keturah Tackett, 1490 Grimes St, Fallon, NV 89406-3103 Ph: (775) 423-1412 |
Kathy Melendy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1490 Grimes St, Fallon, NV 89406 Phone: 775-423-1412 Fax: 775-423-4054 | |
Charles Crane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1490 Grimes St, Fallon, NV 89406 Phone: 775-753-6962 Fax: 775-753-4736 | |
Joseph Knapp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 295 E Williams Ave, Fallon, NV 89406 Phone: 775-217-5936 | |
Janera Tucker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1490 Grimes St, Fallon, NV 89406 Phone: 775-423-1412 Fax: 775-423-4054 | |
Elizabeth Marie Durham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 Keddie St, Fallon, NV 89406 Phone: 775-687-2299 | |
Kadie Zeller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5855 Sheckler Rd, Fallon, NV 89406 Phone: 949-394-8406 |