Individual
ANNETTE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
175 EMERY HIGHWAY, MACON, GA 31217
(478) 751-4446
(478) 751-4444
Mailing address
175 EMERY HIGHWAY, MACON, GA 31217
(478) 751-4446
(478) 751-4444
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
003233
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003233
LPC
GA
Enumeration date
10/06/2006
Last updated
07/08/2007
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