Individual
MR. BRANT LEE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC-ASSOICATE
Contact information
Practice address
2995 COUNTY ROAD 890, CUSHING, TX 75760-4311
(936) 652-0243
Mailing address
2995 COUNTY ROAD 890, CUSHING, TX 75760-4311
(936) 652-0243
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
95380
TX
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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