Organization
TERUCKO PLLC
Active
Organization
TERUCKO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERUCKO COUCH MED. MA. LPC (CLINICAL THERAPIST)
(928) 580-9711
Entity
Organization
Contact information
Practice address
242 S. 1ST AVE, YUMA, AZ 85364
(928) 580-9711
Mailing address
14546 E 47TH LN, YUMA, AZ 85367-4962
(928) 580-9711
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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