Individual provider · Type 1 NPI

Jeanette Tucker

Mental Health Counselor · San Jose, CA

NPI number 1609091941 Active

Practice location

2001 The Alameda
San Jose, CA 95126-1136

Call (408) 261-7777 Map

Fax (408) 254-9960

Mailing address

774 Talisman Ct
Palo Alto, CA 94303-4452

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1609091941

Jeanette Tucker's National Provider Identifier is 1609091941, issued on Apr 13, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.