Individual
MRS. CASEY CAESAR TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4329 NORTHVIEW DR, BOWIE, MD 20716-2601
(301) 684-4606
(240) 331-0545
Mailing address
7240 BRINLEY WAY, HANOVER, MD 21076-2112
(803) 431-9837
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC17697
MD
101YM0800X
Mental Health Counselor
Primary
LGP14663
MD
Other
Enumeration date
11/26/2025
Last updated
04/07/2026
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