Individual provider · Type 1 NPI
Charles Lee Tucker I, LADC
Addiction (Substance Use Disorder) Counselor · Spencer, OK
NPI number
1497039135
Active
Practice location
12925 NE 59th St
Spencer, OK 73084-8605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1225 (OK) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Spencer
About NPI 1497039135
Charles Lee Tucker I, LADC's National Provider Identifier is 1497039135, issued on Sep 29, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Spencer, OK. The record was last updated on Sep 29, 2011.