Individual
CATHERINE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC ASSOCIATE
Contact information
Practice address
195 W ILLINOIS AVE, SOUTHERN PINES, NC 28387-5808
(910) 692-2444
(910) 692-3651
Mailing address
195 W ILLINOIS AVE, SOUTHERN PINES, NC 28387-5808
(910) 692-2444
(910) 692-3651
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A13759
NC
Other
Enumeration date
03/12/2018
Last updated
06/29/2020
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