Tacker, Mary Kaye

Tacker, Mary Kaye is an individual health care provider with primary practice located at 1406 6Th Avenue North St. Cloud Hospital, St. Cloud MN 56303-1901. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Tacker, Mary Kaye can be contacted via phone (320) 251-2700.

Contact Information

Primary practice address
1406 6Th Avenue North St. Cloud Hospital St. Cloud MN 56303-1901
Phone: (320) 251-2700
Fax: (320) 229-5109
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 1490 Minnesota
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 301691 Minnesota

Profile Details

NPI number 1629269626
LBN Legal business name Tacker, Mary Kaye
Credentials PHD, LMFT, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Jan 18th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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