Individual
WALTER TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC, NCC, BHP
Contact information
Practice address
2100 E 8TH, DOUGLAS, AZ 85607
(520) 266-3304
Mailing address
2100 E 8TH ST, DOUGLAS, AZ 85607-3544
(520) 266-3304
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-14619
AZ
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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