Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY KAYE TACKER, PHD, LMFT, LADC
ActiveMARY KAYE TACKER, PHD, LMFT, LADC is a Marriage & Family Therapist healthcare provider located in ST. CLOUD, Minnesota. NPI 1629269626 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · ST. CLOUD, MN
Registration Details
- NPI Number
- 1629269626
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 5, 2007 (18.98843069511 yrs)
- Last Updated
- Jan 18, 2013
- Licenses
-
1490 (MN)301691 (MN)
Practice Information
- Address
-
1406 6TH AVENUE NORTHST. CLOUD HOSPITALST. CLOUD, MN, 563031901Browse MN providers · Browse ZIP 56303
- Phone
- 3202512700
- Fax
- 3202295109
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Marriage & Family Therapist Providers in ST. CLOUD, MN
| Name | Credential | NPI |
|---|---|---|
| SANDRA LEE ANDREASEN | MS, LMFT, LPC, LSW | 1326097783 |
| KATIE BETH BOECKER | MS, LMFT, LSW | 1588965065 |
| MONICA MARIE GUGGENBERGER | MS LMFT | 1003187899 |
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.