Individual
IRMA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISAC
Contact information
Practice address
2499 E AJO WAY, TUCSON, AZ 85713-6202
(520) 618-8700
Mailing address
2499 E AJO WAY, TUCSON, AZ 85713-6202
(520) 618-8700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1714
AZ
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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