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Organization
ROCKY TUCKER, INC
Active
Organization
ROCKY TUCKER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCKY TUCKER LPC (PRESIDENT)
(503) 588-8167
Entity
Organization
Contact information
Practice address
1655 CAPITOL ST NE, SUITE #9, SALEM, OR 97303-6445
(503) 588-8167
(503) 588-8167
Mailing address
1655 CAPITOL ST NE, SUITE #9, SALEM, OR 97303-6445
(503) 588-8167
(503) 588-8167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C0029
OR
Other
Enumeration date
10/31/2005
Last updated
08/22/2020
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