Individual
AMBER RENEE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-I, QMHA-R
Contact information
Practice address
4211 W 11TH AVE, EUGENE, OR 97402-5435
(541) 687-1110
Mailing address
4211 W 11TH AVE, EUGENE, OR 97402-5435
(541) 687-1110
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/08/2024
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