Individual provider · Type 1 NPI

Jake Tucker

Mental Health Counselor · Nampa, ID

NPI number 1376952937 Active

Practice location

112 12th Ave Rd
Nampa, ID 83686-5011

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC-5669 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1376952937

Jake Tucker's National Provider Identifier is 1376952937, issued on Aug 7, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Nampa, ID. The record was last updated on Aug 7, 2014.