Breanna Lynnae Tucker, LCSW
Social Worker, Clinical in Mission Viejo, CA. Individual provider (NPI-1).
NPI number1891320719
StatusActive
Last updated in NPPESMar 27, 2024
Details
- NPI
- 1891320719
- Entity type
- Individual (NPI-1)
- Name
- Breanna Lynnae Tucker
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 11, 2020
- Certification date
- Mar 27, 2024
- Last updated
- Mar 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 101340 | – | Yes |
Practice location
25910 Acero Ste 160Mission Viejo, CA 92691-2777
Phone 714-292-1895
Mailing address
16911 Woodstream Cir Apt 83Huntington Beach, CA 92647-8309
Phone 951-440-4350
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All 78 Clinical Social Worker providers in Mission Viejo · All 2,975 providers in Mission Viejo
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