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Individual

JAMES BLAINE TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC, LCPC, LCAC

Contact information

Practice address
6440 NIEMAN RD, SHAWNEE, KS 66203-3326
(913) 826-4200
(913) 826-1589
Mailing address
6000 LAMAR AVE STE 130, MISSION, KS 66202-3299
(913) 826-4200
(913) 826-1589

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
651
KS
101YM0800X
Mental Health Counselor
Primary
2609
KS
101YP2500X
Professional Counselor
2013005910
MO

Other

Enumeration date
11/19/2013
Last updated
11/19/2025
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