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Juanita Tucker, QMHP
NPI 1114092145 · on the registry since 2006
Practice
- Address
- 3034 Ne M L King Blvd
Portland, OR 97212 - Phone
- (503) 283-3763
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Also registered as
- Addiction (Substance Use Disorder) Counselor
Clinical Social Worker - Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-12-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon