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Individual
MR. ROBERT MACOM TUCKER
Active
Individual
MR. ROBERT MACOM TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1887
VA
106H00000X
Marriage & Family Therapist
0717000162
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005402841
—
VA
01
—
056981
ANTHEM
VA
01
—
1021369
CIGNA
VA
01
—
118590000
MAGELLAN
VA
01
—
141896
TRICARE
VA
01
—
142073
VALUE OPTIONS
VA
01
—
173867
COMPSYCH
VA
01
—
283385
MAMSI
VA
01
—
O82124
SOUTHERN HEALTH / SENTARA
VA
Enumeration date
08/28/2006
Last updated
06/20/2025
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