| NPI | 1003564055 |
|---|---|
| Other Name | ANDY TUCKER LLC |
| Entity Type | Organization |
| Authorized Contact | ANDREW R TUCKER Mental Health Counselor 847-834-9411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2022-04-20 |