Doctor Name: | CRISTEN L TUCKER |
NPI Number: | 1275785305 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | |
Business Practice Address: | 2221 W Detroit St Broken Arrow, OK - 740123628 |
Business Phone Number: | 9186156492 |
Business Fax Number: | |
Mailing Address: | 8453 S 110th East Ave, TULSA |
State: | OK |
Postal Code: | 741332564 |
Phone Number: | 4792159271 |
Fax Number: | |
NPI Enumeration Date: | 10/21/2008 |
NPI Last Update Date: | 11/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |