Tucker, David

Tucker, David is an sole proprietor health care provider with primary practice located at 3127 W 2Nd Ct Ste A , Russellville AR 72801-4566. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Tucker, David can be contacted via phone (479) 219-4100.

Contact Information

Primary practice address
3127 W 2Nd Ct Ste A Russellville AR 72801-4566
Phone: (479) 219-4100
Fax: (479) 968-1673
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Professional 101YP2500X P2011100 Arkansas

Profile Details

NPI number 1770964975
LBN Legal business name Tucker, David
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 12th, 2015
Last updated Nov 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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