Individual
MISS TISHA KATHLEEN LUKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
224 E WINNIE LN STE 212, CARSON CITY, NV 89706-2251
(775) 461-3622
(775) 461-3622
Mailing address
224 E WINNIE LN STE 212, CARSON CITY, NV 89706-2251
(775) 342-9167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
05/09/2011
Last updated
01/15/2015
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