Provider Demographics
NPI:1285951814
Name:TUCKER, ANNE NIGHTINGALE (MA, LMHC)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:NIGHTINGALE
Last Name:TUCKER
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:754 OFFICERS ROW
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-3845
Mailing Address - Country:US
Mailing Address - Phone:503-713-5399
Mailing Address - Fax:888-843-4096
Practice Address - Street 1:754 OFFICERS ROW
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661-3845
Practice Address - Country:US
Practice Address - Phone:503-713-5399
Practice Address - Fax:888-843-4096
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-21
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor