JAKE TUCKER

NAMPA, ID
NPI1376952937
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: ID  LPC-5669)
Enumeration Date2014-08-07
Last Update Date2014-08-07
Business Address
JAKE TUCKER
112 12TH AVE RD
NAMPA, ID 83686-5011
Phone number: 208-989-0907
Mailing Address
JAKE TUCKER
112 12TH AVE RD
NAMPA, ID 83686-5011
Phone number: 208-989-0907
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