Mark Tucker
Counselor, Addiction (Substance Use Disorder) in Lafayette, LA. Individual provider (NPI-1).
NPI number1124478433
StatusActive
Last updated in NPPESJun 16, 2016
Details
- NPI
- 1124478433
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark Tucker
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 16, 2016
- Last updated
- Jun 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 1341 | LA | Yes |
Practice location
2020 W Pinhook Rd Ste 402Lafayette, LA 70508-3212
Phone 337-281-1545
Mailing address
2020 W Pinhook Rd Ste 402Lafayette, LA 70508-3212
Phone 337-281-1545
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All 78 Addiction (Substance Use Disorder) Counselor providers in Lafayette · All 7,488 providers in Lafayette
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