Rocky Tucker, Inc in Salem - Mental Health

Rocky Tucker, Inc - NPI 1912998865

Rocky Tucker, Inc is a Mental Health in Salem, Oregon. Rocky Tucker, Inc practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Rocky Tucker, Inc is 1912998865. The last update date is 2020-08-22.

Rocky Tucker, Inc's current location address is 1655 Capitol St Ne, Salem, Oregon. You can contact this provider via phone number 5035888167 and fax number 5035888167. The mailing address for Rocky Tucker, Inc is 1655 Capitol St Ne, Salem, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Rocky Tucker, Inc
Address 1655 Capitol St Ne, Salem, Oregon
Phone Number 5035888167
Fax Number 5035888167
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Tucker Rocky
Credentials LPC
Telephone Number 5035888167

NPI Number Detail

NPI Number 1912998865
Provider Enumeration Date 2005-10-31
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1655 Capitol St Ne
City Salem
State Oregon (OR)
Post Code 973036445
Phone Number 5035888167
Fax Number 5035888167

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No C0029
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

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FAQs about Rocky Tucker, Inc

What is the unique provider identifier assigned to Rocky Tucker, Inc?

The Rocky Tucker, Inc has been issued the NPI (National Provider Identifier) 1912998865 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Rocky Tucker, Inc is physically located?

The Rocky Tucker, Inc is situated at the following address: 1655 Capitol St Ne, Salem, OR 973036445.

What is Rocky Tucker, Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Rocky Tucker, Inc is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.

On what date did the Rocky Tucker, Inc receive its 1912998865 assignment from the Centers for Medicare & Medicaid Services?

The Rocky Tucker, Inc was assigned its 1912998865 by the Centers for Medicare & Medicaid Services on 2005-10-31.

When was the information pertaining to Rocky Tucker, Inc most recently updated or revised?

The details related to Rocky Tucker, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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