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Fonda L Tucker
Counselor in Paxton, Illinois
NPI 1619065315

Fonda L Tucker is a Counselor based in Paxton, IL. Fonda L Tucker practices in Paxton, IL. The NPI Number for Fonda L Tucker is 1619065315 and holds a License No. (Illinois).

The current practice location address for Fonda L Tucker is 1510 W Ottawa, Paxton, IL and can be reached out via phone at 217-379-4302 and via fax at 217-379-4306.

Location: 1510 W Ottawa, Paxton, IL, 60957
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619065315
Provider Name
Fonda L Tucker
Credential
Provider Entity Type
Individual
Gender
Female
Address
1510 W Ottawa, Paxton, IL, 60957
Phone Number
217-379-4302
Fax Number
217-379-4306
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1510 W Ottawa
City
Paxton
State
Illinois
Zip
60957
Phone Number
217-379-4302
Fax Number
217-379-4306
person
Provider Business Mailing Address Details
Address
1510 W Ottawa
City
Paxton
State
Illinois
Zip
60957
Phone Number
217-379-4302
Fax Number
217-379-4306
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
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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