Provider Demographics
NPI:1053465245
Name:TUEPKER, CLAIRE JO (LPC LMFT)
Entity Type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:JO
Last Name:TUEPKER
Suffix:
Gender:F
Credentials:LPC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 76
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:MS
Mailing Address - Zip Code:39560-0076
Mailing Address - Country:US
Mailing Address - Phone:228-868-3713
Mailing Address - Fax:228-864-2629
Practice Address - Street 1:100 LA ROSA ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:LONG BEACH
Practice Address - State:MS
Practice Address - Zip Code:39560-5810
Practice Address - Country:US
Practice Address - Phone:228-868-3713
Practice Address - Fax:228-864-2629
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS56101YM0800X
MST0032106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist