Individual
JONATHAN CHRISTOPHER TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3388 MCMINNVILLE HWY, MANCHESTER, TN 37355-3624
(931) 728-5191
Mailing address
3388 MCMINNVILLE HWY, MANCHESTER, TN 37355-3624
(931) 728-5191
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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