Individual
MRS. BERNICE BELINDA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1411 BARNWELL ST, COLUMBIA, SC 29201-3566
(803) 451-1104
(803) 799-9458
Mailing address
1411 BARNWELL ST, COLUMBIA, SC 29201-3566
(803) 451-1104
(803) 799-9458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5409
SC
101YP2500X
Professional Counselor
5409
SC
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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