| Doctor Name: | CYNTHIA TUCKER |
| NPI Number: | 1023244902 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 8879 |
| Business Practice Address: | 2447 La Ramada Ln Escondido, CA - 920274503 |
| Business Phone Number: | 7607415098 |
| Business Fax Number: | 7664324297 |
| Mailing Address: | 2447 La Ramada Ln, ESCONDIDO |
| State: | CA |
| Postal Code: | 920274503 |
| Phone Number: | 7607415098 |
| Fax Number: | 7664324297 |
| NPI Enumeration Date: | 06/04/2009 |
| NPI Last Update Date: | 06/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 8879 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |