Tucker, James Blaine

Tucker, James Blaine is an sole proprietor health care provider with primary practice located at 6440 Nieman Rd , Shawnee KS 66203-3326. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Tucker, James Blaine can be contacted via phone (913) 826-4200.

Contact Information

Primary practice address
6440 Nieman Rd Shawnee KS 66203-3326
Phone: (913) 826-4200
Fax: (913) 826-1589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2609 Kansas
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 651 Kansas
Behavioral Health & Social Service Providers / Professional 101YP2500X 2013005910 Missouri

Profile Details

NPI number 1447680970
LBN Legal business name Tucker, James Blaine
Credentials LPC, LCPC, LCAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2013
Last updated Jan 9th, 2019 - about 7 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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