Individual provider · Type 1 NPI
Shantele Monique Tucker
Mental Health Counselor · Las Vegas, NV
NPI number
1407789563
Active
Practice location
4545 Pennwood Ave
Las Vegas, NV 89102-7219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | Y3692555 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1407789563
Shantele Monique Tucker's National Provider Identifier is 1407789563, issued on Jun 8, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Las Vegas, NV. The record was last updated on Jun 8, 2026.