Individual
CRYSTAL MARIE TUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
PO BOX 1844, BUFORD, GA 30515-8844
(404) 594-4727
Mailing address
2843 N FOUR SEASONS LN, CASA GRANDE, AZ 85122-5284
(907) 374-0472
(907) 371-9990
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC016117
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH3237
—
AK
Enumeration date
01/15/2012
Last updated
12/21/2025
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