Individual
MRS. MELINDA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
390 PARK ST, JACKSONVILLE, FL 32204-2342
(904) 899-6300
(904) 899-6383
Mailing address
390 PARK ST, JACKSONVILLE, FL 32204-2342
(904) 899-6300
(904) 899-6383
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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