Individual
MRS. CRYSTAL TUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
300 E COLLEGE AVE, SCIENCE BUILDING, ROOM 409, HARTSVILLE, SC 29550-3742
(843) 383-8040
(843) 383-8107
Mailing address
300 E COLLEGE AVE, SCIENCE BUILDING, ROOM 409, HARTSVILLE, SC 29550-3742
(843) 383-8040
(843) 383-8107
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2309
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173625
COMP. PSYCH.
SC
Enumeration date
09/14/2006
Last updated
07/08/2007
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