Individual provider · Type 1 NPI

Tylisha Sharron Tucker

Mental Health Counselor · Philadelphia, PA

NPI number 1790401271 Active

Practice location

1919 Cottman Ave
Philadelphia, PA 19111-3816

Call (267) 226-2754 Map

Fax (215) 745-6511

Mailing address

6544 Cottage St
Philadelphia, PA 19135-2711

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1790401271

Tylisha Sharron Tucker's National Provider Identifier is 1790401271, issued on Oct 17, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 12, 2024.