Individual
MRS. MELISSA RENEE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-MHSP, NCC
Contact information
Practice address
701 MED TECH PKWY STE 200, JOHNSON CITY, TN 37604-2371
(423) 302-3480
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6286
TN
Other
Enumeration date
09/08/2023
Last updated
06/21/2024
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