DR. ROBERT TUCKER LAADC ICAADC SAP NPI 1518491620

NPI Information

NPI: 1518491620
Provider Name: DR. ROBERT TUCKER, LAADC, ICAADC, SAP
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
28481 RANCHO CALIFORNIA RD STE 101
TEMECULA, CA
ZIP 92590
Phone: (714) 612-7197
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DR. Robert Tucker, LAADC, ICAADC, SAP is a professional counselor in Temecula, CA. DR. Robert Tucker, LAADC, ICAADC, SAP NPI is 1518491620. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

28481 RANCHO CALIFORNIA RD STE 101
TEMECULA, CA
ZIP 92590-667
Phone: (714) 612-7197
Fax: (714) 908-3308

The enumeration date for this NPI number is 4/14/2017 and was last updated on 11/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LR01580715	CALIFORNIA	No
2	101YP1600X	Counselor	Pastoral	CAWES1-1-011930SM	CALIFORNIA	No
3	101YP2500X	Counselor	Professional	LR01580715	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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