Individual
ASHLEY NICOLE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 W TERRA COTTA AVE, CRYSTAL LAKE, IL 60014-3407
(815) 707-4806
Mailing address
475 W TERRA COTTA AVE STE E, CRYSTAL LAKE, IL 60014-3407
(815) 707-4806
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180.016345
IL
Other
Enumeration date
02/23/2023
Last updated
03/09/2025
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