# MISS CYNTHIA LYNN HARVEY TUCKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1326419888
- **Gender:** F
- **Credential:** BA, SUDCC III

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | 156155 | CA | Yes |

## Other

- **Enumeration date:** 10/09/2015
- **Last updated:** 07/29/2020
