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Individual

DARNIECIA TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
64 E BROADWAY RD # 200-254, TEMPE, AZ 85282-1353
(480) 372-4365
Mailing address
64 E BROADWAY RD # 200-254, TEMPE, AZ 85282-1353
(480) 372-4365

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YP1600X
Pastoral Counselor
101YP2500X
Professional Counselor
103TB0200X
Cognitive & Behavioral Psychologist
103TC1900X
Counseling Psychologist
103TH0100X
Health Service Psychologist
104100000X
Social Worker
106S00000X
Behavior Technician
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
05/04/2023
Last updated
05/04/2023
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