Individual provider · Type 1 NPI
Wanda Tucker, MA, LPC, LMT
Professional Counselor · Tigard, OR
NPI number
1982926283
Active
Practice location
11290 SW 95th Ave
Tigard, OR 97223-5362
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC 0857 (OR) |
Professional Counselor: Definition to come...
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About NPI 1982926283
Wanda Tucker, MA, LPC, LMT's National Provider Identifier is 1982926283, issued on Feb 27, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tigard, OR. The record was last updated on Sep 7, 2021.