Individual provider · Type 1 NPI

Martha Marie Tucker, RAS

Addiction (Substance Use Disorder) Counselor · La Mesa, CA

NPI number 1699027342 Active

Practice location

4990 Williams Ave
La Mesa, CA 91942-7409

Call (619) 668-4200 Map

Fax (619) 698-1665

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XP1011050238 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1699027342

Martha Marie Tucker, RAS's National Provider Identifier is 1699027342, issued on Oct 4, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in La Mesa, CA. The record was last updated on Oct 4, 2012.