Individual
MRS. ASHLEY DANIELLE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
4910 CONSTELLATION DR, WHITE BEAR LAKE, MN 55127-2218
(651) 243-2484
Mailing address
PO BOX 234, DULUTH, MN 55801-0234
(651) 243-2484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC04740
MN
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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