Individual
MRS. ANGELA B TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., L.P.C.
Contact information
Practice address
250 E CENTERTON BLVD, YOUTH BRIDGE, INC., CENTERTON, AR 72719-9240
(479) 795-1802
Mailing address
2 FOUNTAINHALL CIR, BELLA VISTA, AR 72715-3401
(479) 855-0493
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0902013
AR
Other
Enumeration date
06/26/2007
Last updated
04/29/2009
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