Individual
ANDREA LYN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7443 JACKMAN RD, TEMPERANCE, MI 48182-9223
(734) 210-1071
Mailing address
7443 JACKMAN RD, TEMPERANCE, MI 48182-9223
(734) 210-1071
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401020328
MI
Other
Enumeration date
05/13/2019
Last updated
06/03/2025
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