Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDRICK JASON TACKETT, APS.004051
Active Sole ProprietorFREDRICK JASON TACKETT, APS.004051 is a Peer Specialist healthcare provider located in COAL GROVE, Ohio. NPI 1235820051 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · COAL GROVE, OH
Registration Details
- NPI Number
- 1235820051
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2023 (3.2232853031881 yrs)
- Last Updated
- Jun 12, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
323 MARION PIKE STE 1COAL GROVE, OH, 456382958Browse OH providers · Browse ZIP 45638
- Phone
- 7402374981
- Fax
- 8773252816
- Primary Specialty
-
Peer Specialist
175T00000X
- Additional Specialty
- Case Manager
- Additional Specialty
- Peer Specialist
Other Peer Specialist Providers in COAL GROVE, OH
| Name | Credential | NPI |
|---|---|---|
| MALLORY HASENAUER | CDCA. 173136 | 1730723495 |
| WHITNEY G ROGNON | CDCA, PRS | 1275127995 |
| ERIN E PEMBERTON | APS.005409 | 1740935352 |
| KELLY JENKINS | PEER SUPPORTER | 1346957537 |
| MICHAL BOWLING | — | 1164131223 |
| STEVIE MARIE NUTTER | CDCA, CPRS | 1942061908 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.