MISTY TUCKER


Address: 7697 Beth St, Sacramento, CA 95832-1229
Phone: 9162714917

MISTY TUCKER (NPI# 1942665021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942665021
Entity Type Individual
Full Name MISTY TUCKER
Practice Address 7697 Beth St
Sacramento
CA 95832-1229
Practice Telephone 9162714917
Mailing Telephone 9162714917
Enumeration Date 2015-12-16
Last Update Date 2015-12-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 7697 BETH ST
City SACRAMENTO
State CA
Zip Code 95832-1229

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1952586794 Kiana Gipson Counselor 7650 Amherst St, Sacramento, CA 95832-1024 2007-12-28
1598947723 Shawn Williams Counselor 7650 Amherst St, Sacramento, CA 95832-1024 2007-11-29
1447431911 Steve Coleman Counselor 7650 Amherst St, Sacramento, CA 95832-1024 2007-11-26
1922204379 Tracy Davis Sims Counselor 7650 Amherst St, Sacramento, CA 95832-1024 2007-06-22
1326243197 Franscisco Jaquez Counselor 7650 Amherst St, Sacramento, CA 95832-1024 2007-06-20
1306041181 Scott Saville Counselor 7650 Amherst St, Sacramento, CA 95832-1024 2007-06-20
1831394618 Thomas Pearson IIi Counselor 7650 Amherst St, Sacramento, CA 95832-1024 2007-06-20
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1699398420 Selena Marie Brown Counselor 8084 Weeping Willow Ln, Sacramento, CA 95828-5395 2020-05-27
1346863222 Erin Harris Counselor 2819 Norcade Cir Apt 1, Sacramento, CA 95826-3427 2020-05-26
1023638566 Marta Yomara Rodriguez Counselor 5311 College Oak Dr Apt 16, Sacramento, CA 95841-2575 2020-04-24
1033739321 Yancey Outreach International Inc. Counselor 1457 Dreamy Way, Sacramento, CA 95835-1761 2020-04-16
1114554136 Cassandra Arlene Del Toro Ruiz Counselor 2403 Yreka Ave # 15, Sacramento, CA 95822-4466 2020-03-27
1952931487 Anisa Sims Counselor 2688 Stonecreek Dr Apt 137, Sacramento, CA 95833 2020-01-23
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Competitor

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City SACRAMENTO
Zip Code 95832

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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