Individual
VANESSA YVETTE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2638 TWO NOTCH RD STE 210, COLUMBIA, SC 29204-1454
(803) 586-2743
Mailing address
652 KENNINGTON RD, BLYTHEWOOD, SC 29016-7294
(803) 586-8434
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9081
SC
101YP2500X
Professional Counselor
—
SC
Other
Enumeration date
07/12/2023
Last updated
03/25/2025
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