Keith Tucker LMHC

NPI 1053307579 - Counselor - 101YM0800X

NPI Details
NPI 1053307579
Gender Male
Enumeration Date 09/20/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1221 W LAKEVIEW AVE
PENSACOLA FL, 32501-1857, US
Phone (850) 469-3500
Fax (850) 469-3424
Business Location
1221 W LAKEVIEW AVE
PENSACOLA FL, 32501-1857, US
Phone (850) 469-3500
Fax (850) 469-3424
Toxanomy
Taxonomy Code 101YM0800X
License State Florida
License Number MH4899
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According to our database, Keith Tucker LMHC NPI is 1053307579, taxonomy code is 101YM0800X and license number is MH4899, license state is located at Florida. Keith Tucker LMHC physically located at 1221 W Lakeview Ave, Pensacola FL, 32501-1857. NPI Number Keith Tucker LMHC has the Individual type.

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1053307579 NPI number is provided on an as is basis without warranty of any kind. 1053307579 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Tucker LMHC are for informational purposes only.