Individual
KARIE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
890 HUDSON RD, WATERFORD, VT 05819-6502
(802) 595-3510
Mailing address
890 HUDSON RD, WATERFORD, VT 05819-6502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
097.0135834
VT
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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