Individual
MR. JAMES ROBERT TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
3011 S MEMORIAL DR STE 12, GREENVILLE, NC 27834-6238
(252) 353-5433
Mailing address
PO BOX 1195, BETHEL, NC 27812-1195
(252) 864-9334
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3490
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3490A
NC
Other
Enumeration date
08/20/2013
Last updated
04/06/2018
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