| Mr Charles Lee Tucker I, LADC | |
|
12925 Ne 59th St, Spencer, OK 73084-8605 | |
| (405) 464-2922 | |
| Not Available |
| Full Name | Mr Charles Lee Tucker I |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 12925 Ne 59th St, Spencer, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497039135 | NPI | - | NPPES |
| 1225 | Other | NPI | |
| 1225 | Other | OK | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1225 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles Lee Tucker I, LADC 12925 Ne 59th St, Spencer, OK 73084-8605 Ph: (405) 464-2922 | Mr Charles Lee Tucker I, LADC 12925 Ne 59th St, Spencer, OK 73084-8605 Ph: (405) 464-2922 |
Mr. Frank Cecil Calvin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8617 Honeylocust Dr, Spencer, OK 73084 Phone: 405-326-7721 | |
Ms. Charzina Fields, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4817 Shady Nook Way, Spencer, OK 73084 Phone: 405-761-3071 | |
Mr. Krishaun Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10901 N.e 59th St., Spencer, OK 73084 Phone: 405-881-7080 | |
Shameka L Boyd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3442 Cobblestone Dr, Spencer, OK 73084 Phone: 405-924-3575 Fax: 405-606-7271 | |
Linda Jacobs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8913 Cecile Pl, Spencer, OK 73084 Phone: 405-889-8324 | |
Jennifer Kennedy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8917 Cecile Pl, Spencer, OK 73084 Phone: 405-306-2016 | |
Ronnisha Powell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8517 Ne 28th St, Spencer, OK 73084 Phone: 405-476-5157 |