Individual
ANA LISA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
8328 WINSFORD AVE, LOS ANGELES, CA 90045-4404
(404) 309-4866
Mailing address
8328 WINSFORD AVE, LOS ANGELES, CA 90045-4404
(404) 309-4866
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LMFT123477
CA
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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