Individual provider · Type 1 NPI

Shannon Renee Tucker

Mental Health Counselor · El Reno, OK

NPI number 1073817565 Active

Practice location

7777 E US Highway 66
El Reno, OK 73036-9125

Fax (405) 422-8818

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1073817565

Shannon Renee Tucker's National Provider Identifier is 1073817565, issued on Dec 27, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in El Reno, OK. The record was last updated on Dec 27, 2010.