Individual
VANITA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2610 WETMORE AVE, EVERETT, WA 98201-2927
(425) 258-5270
(425) 258-5276
Mailing address
2610 WETMORE AVE, EVERETT, WA 98201-2927
(425) 258-5270
(425) 258-5276
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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