Individual provider · Type 1 NPI

Fonda L. Tucker

Counselor · Paxton, IL

NPI number 1619065315 Active

Practice location

1510 W Ottawa
Paxton, IL 60957

Call (217) 379-4302 Map

Fax (217) 379-4306

Mailing address

PO Box 162, 1510 W Ottawa
Paxton, IL 60957

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1619065315

Fonda L. Tucker's National Provider Identifier is 1619065315, issued on Oct 10, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Paxton, IL. The record was last updated on Jul 8, 2007.