Jake Tucker
Jake Tucker is a Mental Health Counselor in Nampa, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2014
Practice location Address checks out
112 12th Ave RdNampa, ID 83686-5011
Phone: (208) 989-0907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence LPC-5669 (ID) |
|---|
Record details
| NPI number | 1376952937 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 7, 2014 |
| Last updated in NPPES | August 7, 2014 |
| Mailing address | 112 12th Ave Rd, Nampa, ID 83686-5011 |
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