Individual
MRS. JEAN MARIE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1700 EDUCATION AVE, PUNTA GORDA, FL 33950-6222
(941) 639-8300
(941) 639-6831
Mailing address
1700 EDUCATION AVE, PUNTA GORDA, FL 33950-6222
(941) 639-8300
(941) 639-6831
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH7466
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766467200
—
FL
Enumeration date
05/25/2006
Last updated
12/15/2016
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