Individual
JARED TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
490 CREEK RD, FLORAL, AR 72534-9816
(870) 217-9381
Mailing address
490 CREEK RD, FLORAL, AR 72534-9816
(870) 217-9381
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171383795
—
AR
Enumeration date
02/12/2013
Last updated
02/12/2013
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