Tucker, Kevin
Tucker, Kevin is an sole proprietor health care provider with primary practice located at 5300 Memorial Dr Ste 216 , Stone Mountain GA 30083-3134. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Tucker, Kevin can be contacted via phone (678) 481-6375.Contact Information
Primary practice address
5300 Memorial Dr Ste 216
Stone Mountain GA 30083-3134
Phone: (678) 481-6375
Fax: (678) 348-7215
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC007095 | Georgia |
Profile Details
| NPI number | 1629315916 |
|---|---|
| LBN Legal business name | Tucker, Kevin |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 7th, 2013 |
| Last updated | Apr 3rd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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