Individual
ATHANETTE TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCMHC-A
Contact information
Practice address
4160 PIEDMONT PKWY STE 207, GREENSBORO, NC 27410-8174
(336) 855-4649
Mailing address
4160 PIEDMONT PKWY STE 207, GREENSBORO, NC 27410-8174
(336) 855-4649
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A18572
NC
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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