Individual provider · Type 1 NPI
Willisha Tucker
Mental Health Counselor · Los Angeles, CA
NPI number
1255780953
Active
Practice location
1849 Sawtelle Blvd Ste 610
Los Angeles, CA 90025-7013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1255780953
Willisha Tucker's National Provider Identifier is 1255780953, issued on Jun 3, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 13, 2026.