Individual provider · Type 1 NPI
Paula Jean Tucker, SUDRC
Addiction (Substance Use Disorder) Counselor · Lancaster, CA
NPI number
1780374454
Active
Practice location
44421 10th St
Lancaster, CA 93534-3335
Mailing address
18646 Oxnard St
Tarzana, CA 91356-1411
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 12049 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1780374454
Paula Jean Tucker, SUDRC's National Provider Identifier is 1780374454, issued on May 8, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lancaster, CA. The record was last updated on May 8, 2023.