Individual
TINA MARIE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3602 COLLINS FERRY RD, MORGANTOWN, WV 26505-2378
(304) 598-4214
Mailing address
90 S PENNSYLVANIA AVE APT C, UNIONTOWN, PA 15401-4269
(724) 562-3154
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
2878
WV
Other
Enumeration date
11/10/2020
Last updated
12/07/2023
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