Individual
LEAH TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, LMFT
Contact information
Practice address
1904 ROYAL AVE, MONROE, LA 71201-5724
(318) 323-1505
Mailing address
1904 ROYAL AVE, MONROE, LA 71201-5724
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6378
LA
106H00000X
Marriage & Family Therapist
1263
LA
Other
Enumeration date
08/14/2017
Last updated
04/24/2018
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