Individual
JEANNIE REBECCA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
790 ROBERTS DR, MONTICELLO, AR 71655-5723
(870) 367-2461
(870) 460-6133
Mailing address
519 SPRING BRANCH DR, MONTICELLO, AR 71655-3849
(870) 723-1404
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
5956-C
AR
Other
Enumeration date
08/20/2008
Last updated
08/13/2021
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