Individual provider · Type 1 NPI

Jobrena Tucker

Mental Health Counselor · Ardmore, OK

NPI number 1124323746 Active

Practice location

2530 S Commerce St Bldg C
Ardmore, OK 73401-5519

Mailing address

1076 Breezewood Rd
Ardmore, OK 73401-9444

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124323746

Jobrena Tucker's National Provider Identifier is 1124323746, issued on Jan 12, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ardmore, OK. The record was last updated on Jun 8, 2016.