Individual
MRS. PAULA JUNE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4396 HIGHWAY 80, RUSTON, LA 71270-8948
(318) 251-4659
Mailing address
4396 HIGHWAY 80, RUSTON, LA 71270-8948
(318) 251-4659
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4194
LA
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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