Individual
BAYLI LYNN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5900 SEPULVEDA BLVD, VAN NUYS, CA 91411-2511
(714) 202-2100
Mailing address
5900 SEPULVEDA BLVD, VAN NUYS, CA 91411-2511
(818) 980-3200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
09/19/2019
Last updated
05/13/2021
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