Boone Martin Tucker
Boone Martin Tucker is an Addiction (Substance Use Disorder) Counselor in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
2180 Johnson AveSan Luis Obispo, CA 93401-4558
Phone: (805) 473-7081
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence RT1437960426 (CA) |
|---|
Record details
| NPI number | 1902521966 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 11, 2022 |
| Last updated in NPPES | April 10, 2026 |
| Certification date | April 10, 2026 |
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