JOSHUA TACKES L.P.C.
NPI 1831544287
Counselor - Professional in Oconomowoc, WI
- Individual
- Male
- Counselor
- Professional
About JOSHUA TACKES
This page provides the complete NPI Profile along with additional information for Joshua Tackes, a provider established in Oconomowoc, Wisconsin with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1831544287 assigned on May 2016. The practitioner's primary taxonomy code is 101YP2500X with license number 4961125 (WI). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1831544287 Verify this NPI
- Provider Name
- JOSHUA TACKES L.P.C.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1230 CORPORATE CENTER DR STE 100 OCONOMOWOC, WI 53066
- Location Phone
- (262) 789-1191
- Location Fax
- (262) 567-5451
- Mailing Address
- 1230 CORPORATE CENTER DR STE 100 OCONOMOWOC, WI 53066
- Mailing Phone
- (262) 789-1191
- Mailing Fax
- (262) 567-5451
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-03-2016
- Last Update Date
- 05-03-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 4961125
- License State
- WI
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
OCONOMOWOC, WI 53066
OCONOMOWOC, WI 53066
OCONOMOWOC, WI 53066
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1831544287, enumerated as an "individual" on May 03, 2016.
The provider is located at 1230 CORPORATE CENTER DR STE 100 OCONOMOWOC, WI 53066 and the phone number is (262) 789-1191.
Counselor with taxonomy code 101YP2500X and a focus in Professional.