Individual
ANGELA DEANNE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 NW 17TH ST, OKLAHOMA CITY, OK 73106-4290
(405) 888-9654
Mailing address
1217 NW 17TH ST, OKLAHOMA CITY, OK 73106-4290
(405) 888-9654
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
OK
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
07/05/2018
Last updated
11/11/2025
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