Individual
GERI L TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
604 E COLLEGE ST, CARBONDALE, IL 62901-3309
(618) 457-6703
Mailing address
604 E COLLEGE ST, CARBONDALE, IL 62901-3309
(618) 457-6703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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