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Individual
MISS CYNTHIA LYNN HARVEY TUCKER
Active
Individual
MISS CYNTHIA LYNN HARVEY TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, SUDCC III
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CATC - II 156155
CA
101YM0800X
Mental Health Counselor
CATC - II 156155
CA
225400000X
Rehabilitation Practitioner
—
NULL
251B00000X
Case Management Agency
Primary
156155
CA
Other
Enumeration date
10/09/2015
Last updated
07/29/2020
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