Individual
ADIA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED.
Contact information
Practice address
108 1/2 E 37TH ST, NEW YORK, NY 10016-3003
(347) 709-2840
Mailing address
4448 64TH ST # 2R, WOODSIDE, NY 11377-5757
(917) 612-8016
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
006206
NY
Other
Enumeration date
01/17/2015
Last updated
01/17/2015
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