Individual
MR. EVAN S. TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
18201 CONNEAUT LAKE RD, MEADVILLE, PA 16335-3757
(814) 333-5061
(814) 333-5067
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5061
(814) 333-5067
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC005851
PA
Other
Enumeration date
09/29/2011
Last updated
01/08/2020
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