Individual
ALICE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7405 GROVER AVE, AUSTIN, TX 78757-1913
(512) 751-9126
Mailing address
7405 GROVER AVE, AUSTIN, TX 78757-1913
(512) 751-9126
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
68006
TX
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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