Shannon Renee Tucker

NPI #1073817565 in El Reno, Oklahoma

Provider Information

NPI Number: 1073817565
Entity Type: Individual
Name: Shannon Renee Tucker
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Dec 27, 2010
Last Updated: Dec 27, 2010

Practice Location

Address: 7777 E US HIGHWAY 66
City: El Reno
State: Oklahoma
ZIP Code: 73036-9125
Phone: (405) 422-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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