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Individual

DR. CHRISTOPHER TUCKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
EDD

Contact information

Practice address
2825 E COTTONWOOD PKWY STE 500, SALT LAKE CITY, UT 84121-7060
(646) 941-7645
(929) 596-7897
Mailing address
912 E MONTANA VISTA LN, SALT LAKE CITY, UT 84124-2467
(801) 541-3068

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5274048-6004
UT

Other

Enumeration date
04/09/2024
Last updated
04/09/2024
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