IndividualActive
Brent Tanksley, LCDC
NPI 1871004507 · Addiction (Substance Use Disorder) Counselor · Jasper, TX
Provider details
- NPI number
- 1871004507
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LCDC
- Sex
- Male
- Sole proprietor
- No
- License
- 13677 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1501c S Wheeler St
Jasper, TX 75951-5103
Phone: (409) 622-9252
Approximate (ZIP-level) locationGet directions
Mailing address
1204 Jane Ave
Lufkin, TX 75901-1450
Registry dates
- Enumerated
- 2017-10-20
- Last updated
- 2021-11-29
- Certified
- 2021-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.