Individual
DONNA SMITH TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC II
Contact information
Practice address
11144 GLYNN RIDGE DR, HAMPTON, GA 30228-3212
(404) 934-2176
Mailing address
PO BOX 1491, MCDONOUGH, GA 30253-1491
(404) 934-2176
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01791
GA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
02/11/2016
Last updated
01/27/2024
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