Individual
JANEVA TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2427 DEWEY CREEK LN, CHARLOTTE, NC 28216-1558
(718) 312-2093
Mailing address
2427 DEWEY CREEK LN, CHARLOTTE, NC 28216-1558
(718) 312-2093
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
10625
SC
Other
Enumeration date
09/27/2025
Last updated
09/27/2025
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