Provider Demographics
NPI:1811773971
Name:GUKER, TANA MISH (LMFT)
Entity type:Individual
Prefix:MS
First Name:TANA
Middle Name:MISH
Last Name:GUKER
Suffix:
Gender:
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 WILLOW CREEK TER
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-1826
Mailing Address - Country:US
Mailing Address - Phone:510-418-4490
Mailing Address - Fax:
Practice Address - Street 1:5150 LIVE OAK AVE
Practice Address - Street 2:
Practice Address - City:OAKLEY
Practice Address - State:CA
Practice Address - Zip Code:94561-4127
Practice Address - Country:US
Practice Address - Phone:925-779-7445
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-05
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YS0200X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool