MR. Douglas Anthony Tucker SR., MHS CATC IV 155671
NPI #1376901017 in Santa Ana, California
Provider Information
- NPI Number
- 1376901017
- Entity Type
- Individual
- Name
- MR. Douglas Anthony Tucker SR., MHS CATC IV 155671
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Credential
- MHS CATC IV 155671
- Enumeration Date
- Feb 9, 2016
- Last Updated
- Feb 9, 2016
Practice Location
- Address
- 1207 E FRUIT ST
- City
- Santa Ana
- State
- California
- ZIP Code
- 92701-4206
- Phone
- (714) 953-9373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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