Individual
CHERYLENE M. TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, MAC, LCDC
Contact information
Practice address
2831 DURHAM DR, VENUS, TX 76084-3682
(347) 410-1739
Mailing address
PO BOX 1360, MANSFIELD, TX 76063-1360
(682) 235-5162
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
80732
TX
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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