Individual provider · Type 1 NPI

Martha Tuck

Mental Health Counselor · Kennesaw, GA

NPI number 1104574540 Active

Practice location

4255 Wade Green Rd NW Ste 414
Kennesaw, GA 30144-1763

Mailing address

111 N Marietta Pkwy NE Apt C310
Marietta, GA 30060-1486

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XAPC008390 (GA)

Mental Health Counselor: Definition to come...

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About NPI 1104574540

Martha Tuck's National Provider Identifier is 1104574540, issued on Mar 15, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kennesaw, GA. The record was last updated on Mar 15, 2022.