TIMOTHY TACKELS CP 00002256 - NPI 1023465176 - Counselor in Mount Vernon, WA

Q: What is Timothy Tackels's NPI number?

The NPI number for Timothy Tackels is 1023465176. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Q: What is Timothy Tackels's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Tackels was last updated on May 18, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Timothy Tackels Cp 00002256 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY TACKELS CP 00002256 (NPI 1023465176) is an individual addiction (substance use disorder) provider in Mount Vernon, Washington, licensed in Washington (CP 00002256) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1023465176

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameTIMOTHY TACKELSCredential: CP 00002256

Location Address1601 E COLLEGE WAYMount Vernon, WA 98273-5612

Mailing Address1601 E College WayMount Vernon, WA 98273-5612

Phone(360) 848-8437

Sole ProprietorYes

Enumeration DateMay 18, 2016

✔ NPI 1023465176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WA · CP 00002256

1601 E COLLEGE WAY, Mount Vernon, WA 98273

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. BLANCA V. LAURSEN SUDP

Counselor (Addiction (Substance Use Disorder))