Individual
JAMES J TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
1401 DEZARAE, LOT 3, SAN ANTONIO, TX 78253
(210) 439-6342
Mailing address
1401 DEZARAE, LOT 3, SAN ANTONIO, TX 78253
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13336
TX
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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