Individual
MR. DAMIAN THOMAS TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17579 WARWICK BLVD, NEWPORT NEWS, VA 23603-1343
(757) 888-0400
Mailing address
943 HOLBROOK DR, NEWPORT NEWS, VA 23602-8997
(757) 232-9988
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701008592
VA
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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