Individual
BREANNA LYNNAE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
25910 ACERO STE 160, MISSION VIEJO, CA 92691-2777
(714) 292-1895
Mailing address
16911 WOODSTREAM CIR APT 83, HUNTINGTON BEACH, CA 92647-8309
(951) 440-4350
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
101340
—
Other
Enumeration date
03/11/2020
Last updated
03/27/2024
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