Walter Tucker, MS, LPC, NCC, BHP | |
2100 E 8th, Douglas, AZ 85607 | |
(520) 266-3304 | |
Not Available |
Full Name | Walter Tucker |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 2100 E 8th, Douglas, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609279108 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC-14619 (Arizona) | Primary |
Entity Name | Community Intervention Associates Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518250620 PECOS PAC ID: 4880851971 Enrollment ID: O20120201000213 |
Mailing Address | Practice Location Address |
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Walter Tucker, MS, LPC, NCC, BHP 2100 E 8th St, Douglas, AZ 85607-3544 Ph: (520) 266-3304 | Walter Tucker, MS, LPC, NCC, BHP 2100 E 8th, Douglas, AZ 85607 Ph: (520) 266-3304 |
Mrs. Betty Lynn Spering, LISAC, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 N Douglas Ave, Douglas, AZ 85607 Phone: 520-364-1286 Fax: 520-805-1221 | |
Larry Corrales, Counselor Medicare: Not Enrolled in Medicare Practice Location: 936 N F Ave Ste B, Douglas, AZ 85607 Phone: 520-364-3285 | |
Natividad Cano, AGS, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 N Douglas Ave, Douglas, AZ 85607 Phone: 520-364-1286 Fax: 520-805-1221 | |
Mr. Carlos G Quijada Sr., MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 N Douglas Ave, Douglas, AZ 85607 Phone: 520-366-3133 Fax: 520-364-2770 | |
Ms. Candace Ilene Weingart, MA, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 N Douglas Ave, Douglas, AZ 85607 Phone: 520-364-1286 Fax: 520-805-1221 | |
Pamela Burns, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 N Douglas Ave, Douglas, AZ 85607 Phone: 520-364-1286 Fax: 520-805-1221 |