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Mr. Jason Lamar Tucker
Addiction (Substance Use Disorder) Counselor in St Augustine, Florida
NPI 1194212027

Jason Lamar Tucker is an Addiction (Substance Use Disorder) Counselor based in St Augustine, FL and is specialized in Addiction (Substance Use Disorder). Jason Lamar Tucker practices in St Augustine, FL. The NPI Number for Jason Lamar Tucker is 1194212027 and holds a License No. (Florida).

The current practice location address for Jason Lamar Tucker is 3574 Us 1 S Ste 101104, St Augustine, FL and can be reached out via phone at 904-217-7161.

Location: 3574 Us 1 S Ste 101104, St Augustine, FL, 32086-6466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194212027
Provider Name
Jason Lamar Tucker
Credential
Provider Entity Type
Individual
Gender
Male
Address
3574 Us 1 S Ste 101104, St Augustine, FL, 32086-6466
Phone Number
904-217-7161
Fax Number
Provider Enumeration Date
04/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3574 Us 1 S Ste 101104
City
St Augustine
State
Florida
Zip
32086-6466
Phone Number
904-217-7161
Fax Number
person
Provider Business Mailing Address Details
Address
3574 Us 1 S Ste 101104
City
St Augustine
State
Florida
Zip
32086-6466
Phone Number
904-217-7161
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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