Individual
MR. PAUL NORMAN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LADAC
Contact information
Practice address
9201 MONTGOMERY BLVD NE, BLDG 5, ALBUQUERQUE, NM 87111-2468
(505) 217-1717
(505) 213-0041
Mailing address
9201 MONTGOMERY BLVD NE, BLDG 5, ALBUQUERQUE, NM 87111-2468
(505) 217-1717
(505) 213-0041
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4416
NM
Other
Enumeration date
09/14/2010
Last updated
04/05/2017
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