Individual provider · Type 1 NPI
Kevin Tucker, LPC
Professional Counselor · Stone Mountain, GA
NPI number
1629315916
Active
Practice location
5300 Memorial Dr Ste 216
Stone Mountain, GA 30083-3134
Fax (678) 348-7215
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPC007095 (GA) |
Professional Counselor: Definition to come...
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About NPI 1629315916
Kevin Tucker, LPC's National Provider Identifier is 1629315916, issued on Jan 7, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Stone Mountain, GA. The record was last updated on Apr 3, 2024.