MARK TUCKER

LAFAYETTE, LA
NPI1124478433
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  1341)
Enumeration Date2016-06-16
Last Update Date2016-06-16
Business Address
Mr. MARK TUCKER
2020 W PINHOOK RD STE 402
LAFAYETTE, LA 70508-3212
Phone number: 337-281-1545
Mailing Address
Mr. MARK TUCKER
2020 W PINHOOK RD STE 402
LAFAYETTE, LA 70508-3212
Phone number: 337-281-1545
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