| Doctor Name: | MR. DAVID DEON TUCKER |
| NPI Number: | 1861541757 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 2003032052 |
| Business Practice Address: | 901 N Pine St Suite 307 Rolla, MO - 654013141 |
| Business Phone Number: | 5736366727 |
| Business Fax Number: | 5737615819 |
| Mailing Address: | 1303 Edgewood Dr, Suite 101 JEFFERSON CITY |
| State: | MO |
| Postal Code: | 651091943 |
| Phone Number: | 5736366727 |
| Fax Number: | 5737615819 |
| NPI Enumeration Date: | 01/09/2007 |
| NPI Last Update Date: | 05/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 2003032052 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| 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 |