Individual
MS. DIANNE B. TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., PSTC, LMHC
Contact information
Practice address
146 CEMETARY RD, SCHUYLERVILLE, NY 12871-1865
(518) 507-6423
Mailing address
146 CEMETARY RD, SCHUYLERVILLE, NY 12871-1865
(518) 507-6423
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
003825-1
NY
101YS0200X
School Counselor
Primary
168730021
NY
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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