Individual
ASHLEY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS
Contact information
Practice address
4243 SUNBEAM RD STE 1, JACKSONVILLE, FL 32257-8975
(239) 999-1029
Mailing address
1591 HIGHWAY 24, NEWPORT, NC 28570-8104
(252) 725-3544
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-25601
NC
1041C0700X
Clinical Social Worker
C011679
NC
1041C0700X
Clinical Social Worker
Primary
SW23371
FL
Other
Enumeration date
03/02/2017
Last updated
12/30/2024
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