Individual
JENNIFER J TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
502 MAIN ST W STE 306, ASHLAND, WI 54806-1579
(612) 208-9325
Mailing address
PO BOX 164, ASHLAND, WI 54806-0164
(612) 208-9325
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7304
WI
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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