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Jake Tucker
Mental Health Counselor in Nampa, Idaho
NPI 1376952937

Jake Tucker is a Mental Health Counselor based in Nampa, ID and is specialized in Mental Health. Jake Tucker practices in Nampa, ID. The NPI Number for Jake Tucker is 1376952937 and holds a License No. LPC-5669 (Idaho).

The current practice location address for Jake Tucker is 112 12Th Ave Rd, Nampa, ID and can be reached out via phone at 208-989-0907.

Location: 112 12Th Ave Rd, Nampa, ID, 83686-5011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376952937
Provider Name
Jake Tucker
Credential
Provider Entity Type
Individual
Gender
Male
Address
112 12Th Ave Rd, Nampa, ID, 83686-5011
Phone Number
208-989-0907
Fax Number
Provider Enumeration Date
08/07/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
112 12Th Ave Rd
City
Nampa
State
Idaho
Zip
83686-5011
Phone Number
208-989-0907
Fax Number
person
Provider Business Mailing Address Details
Address
112 12Th Ave Rd
City
Nampa
State
Idaho
Zip
83686-5011
Phone Number
208-989-0907
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LPC-5669 (Idaho)
Definition
Definition to come...
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