JUSTINE TUCKER

BENTONVILLE, AR
NPI1164868709
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AR  A1601002)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2013-05-21
Last Update Date2016-07-15
Business Address
-- JUSTINE TUCKER LAC, MHP
2003 SE WALTON BLVD
BENTONVILLE, AR 72712-3725
Phone number: 479-464-5925
Mailing Address
-- JUSTINE TUCKER LAC, MHP
4171 N CROSSOVER RD
FAYETTEVILLE, AR 72703-4591
Phone number: 479-521-1427