Individual provider · Type 1 NPI

Walter Tucker, MS, LPC, NCC, BHP

Professional Counselor · Douglas, AZ

NPI number 1609279108 Active

Practice location

2100 E 8th
Douglas, AZ 85607

Mailing address

2100 E 8th St
Douglas, AZ 85607-3544

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-14619 (AZ)

Professional Counselor: Definition to come...

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About NPI 1609279108

Walter Tucker, MS, LPC, NCC, BHP's National Provider Identifier is 1609279108, issued on Sep 29, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Douglas, AZ. The record was last updated on Sep 29, 2014.