Individual
EMILY TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC NCC
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 672-2691
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 672-2691
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2798
AL
101YP2500X
Professional Counselor
Primary
C10100
OR
Other
Enumeration date
12/21/2010
Last updated
07/24/2025
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