Lisa Tucker is a Counselor based in Colton, CA. Lisa Tucker practices in Colton, CA. The NPI Number for Lisa Tucker is 1063076214 and holds a License No. (California).
The current practice location address for Lisa Tucker is 791 N Pepper Ave, Colton, CA and can be reached out via phone at 909-824-0480.
Location: 791 N Pepper Ave, Colton, CA, 92324-1800
Provider Profile Details
NPI Number
1063076214
Provider Name
Lisa Tucker
Credential
Provider Entity Type
Individual
Gender
Female
Address
791 N Pepper Ave, Colton, CA, 92324-1800
Phone Number
909-824-0480
Fax Number
Provider Enumeration Date
04/23/2019
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6201986 | 01 | CHURCH OF JESUS CHRIST OF LATTER-DAY SAINTS FAMILY SERVICES |
Provider Business Practice Location Address Details
Address
791 N Pepper Ave
City
State
Zip
92324-1800
Phone Number
909-824-0480
Fax Number
Provider Business Mailing Address Details
Address
791 N Pepper Ave
City
State
Zip
92324-1800
Phone Number
909-824-0480
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
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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