Individual provider · Type 1 NPI

Justine Tucker, LAC, MHP

Mental Health Counselor · Bentonville, AR

NPI number 1164868709 Active

Practice location

2003 SE Walton Blvd
Bentonville, AR 72712-3725

Call (479) 464-5925 Map

Fax (479) 464-4275

Mailing address

4171 N Crossover Rd
Fayetteville, AR 72703-4591

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XA1601002 (AR)

Mental Health Counselor: Definition to come...

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About NPI 1164868709

Justine Tucker, LAC, MHP's National Provider Identifier is 1164868709, issued on May 21, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bentonville, AR. The record was last updated on Jul 15, 2016.