Tucker Bankston Valid NPI
Individual provider · Mental Health Counselor · Allen, TX
- NPI
- 1093166951
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- 78286 (TX)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2016-06-22
- Last updated
- 2020-03-09
Practice location
1125 Raintree Cir Ste 180
Allen, TX 75013-5289
(972) 332-1912