Individual
COLLEEN E MILLER-TUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC-C
Contact information
Practice address
126 LITHIA PINECREST RD, BRANDON, FL 33511-5347
(813) 689-8828
Mailing address
126 LITHIA PINECREST RD, BRANDON, FL 33511-5347
(813) 689-8828
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
FL
101YP2500X
Professional Counselor
Primary
XL3662
ME
Other
Enumeration date
11/05/2010
Last updated
12/20/2019
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