Individual
ALEXANDER TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADAC-II
Contact information
Practice address
1453 COHUTTA BEAVERDALE RD NE, DALTON, GA 30721-7375
(706) 618-0200
Mailing address
1453 COHUTTA BEAVERDALE RD NE, DALTON, GA 30721-7375
(706) 618-0200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1496
TN
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1496
TN
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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