Individual
PAMELA LYNN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19707 44TH AVE W, STE 101, LYNNWOOD, WA 98036-6757
(425) 977-2560
(425) 977-2561
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00004560
WA
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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