Individual
ANGELA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11 BUSINESS CENTER DR STE 205, EASTANOLLEE, GA 30538-3254
(770) 530-3702
Mailing address
206 CEDAR RIDGE DR, TOCCOA, GA 30577-8649
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC014998
GA
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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