Individual provider · Type 1 NPI
Kendal Michelle Tucker, LPC
Professional Counselor · Boise, ID
NPI number
1285968859
Active
Practice location
2501 S Gatewood Ln
Boise, ID 83709-8575
Mailing address
PO Box 190986
Boise, ID 83719-0986
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC-4233 (ID) |
Professional Counselor: Definition to come...
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About NPI 1285968859
Kendal Michelle Tucker, LPC's National Provider Identifier is 1285968859, issued on Sep 29, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boise, ID. The record was last updated on Sep 29, 2009.