MS. Wanda Tucker, MA, LPC, LMT

NPI #1982926283 in Tigard, Oregon

Provider Information

NPI Number: 1982926283
Entity Type: Individual
Name: MS. Wanda Tucker, MA, LPC, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: MA, LPC, LMT
Enumeration Date: Feb 27, 2010
Last Updated: Sep 7, 2021

Practice Location

Address: 11290 SW 95TH AVE
City: Tigard
State: Oregon
ZIP Code: 97223-5362
Phone: (503) 293-0888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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