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Search › Idaho › 101YM0800X

Jake Tucker

NPI 1376952937 · on the registry since 2014 · sole proprietor

Practice

Address
112 12th Ave Rd
Nampa, ID 83686
Phone
(208) 989-0907
Organisation at this address
Life Counseing Center, Inc
Life Counseling Center, Inc
Life Counseling Center Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-08-07

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 Idaho