Individual provider · Type 1 NPI

Jesse Tucker

Mental Health Counselor · Mcalester, OK

NPI number 1295179075 Active

Practice location

1602 N D St
Mcalester, OK 74501-2314

Fax (918) 426-1648

Mailing address

PO Box 48
Mead, OK 73449-0048

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1295179075

Jesse Tucker's National Provider Identifier is 1295179075, issued on Apr 23, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mcalester, OK. The record was last updated on Apr 24, 2013.