Provider Demographics
NPI:1508213885
Name:TUCKER, CHASE MORGAN (LPC)
Entity Type:Individual
Prefix:
First Name:CHASE
Middle Name:MORGAN
Last Name:TUCKER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9150 W JEWELL AVE STE 109
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-6469
Mailing Address - Country:US
Mailing Address - Phone:720-924-1579
Mailing Address - Fax:
Practice Address - Street 1:9150 W JEWELL AVE STE 109
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-6469
Practice Address - Country:US
Practice Address - Phone:720-924-1579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-17
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health