Tucker, Jake

Tucker, Jake is an sole proprietor health care provider with primary practice located at 112 12Th Ave Rd , Nampa ID 83686-5011. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Tucker, Jake can be contacted via phone (208) 989-0907.

Contact Information

Primary practice address
112 12Th Ave Rd Nampa ID 83686-5011
Phone: (208) 989-0907
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-5669 Idaho

Profile Details

NPI number 1376952937
LBN Legal business name Tucker, Jake
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2014
Last updated Aug 7th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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