Individual
ANTHONY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAS
Contact information
Practice address
234 N MAGNOLIA AVE, EL CAJON, CA 92020-3906
(619) 579-8373
(619) 579-8155
Mailing address
234 N MAGNOLIA AVE, EL CAJON, CA 92020-3906
(619) 579-8373
(619) 579-5188
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01-886446
CA
Other
Enumeration date
08/31/2011
Last updated
12/04/2019
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