Tucker, Robert

Tucker, Robert is an sole proprietor health care provider with primary practice located at 28481 Rancho California Rd Ste 101 , Temecula CA 92590-3667. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Tucker, Robert can be contacted via phone (714) 612-7197.

Contact Information

Primary practice address
28481 Rancho California Rd Ste 101 Temecula CA 92590-3667
Phone: (714) 612-7197
Fax: (714) 908-3308
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LR01580715 California
Behavioral Health & Social Service Providers / Pastoral 101YP1600X CAWES1-1-011930SM California
Behavioral Health & Social Service Providers / Professional 101YP2500X LR01580715 California

Profile Details

NPI number 1518491620
LBN Legal business name Tucker, Robert
Credentials LAADC, ICAADC, SAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2017
Last updated Nov 8th, 2021 - about 3 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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