Individual
GINA M TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 SHADY HILL CT, COLFAX, NC 27235-9434
(336) 706-1732
Mailing address
8700 SHADY HILL CT, COLFAX, NC 27235-9434
(336) 706-1732
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A20755
NC
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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