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Contact Information

DAVID C TUCKER, LPC
465 MEDICAL CENTER PARKWAY
CLINTON, AR72031-1529
 Phone: 501-745-7888
 Fax: 877-460-4576
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for DAVID C TUCKER · (Male)

NPI Number 1770964975
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 06/12/2015
Last updated 10/09/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • AR License # P2011100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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