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1053198515
MELISSA RENEE TUCKER
JOHNSON CITY, TN
NPI
1053198515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TN 6286)
Enumeration Date
2023-09-08
Last Update Date
2024-06-21
Business Address
Mrs. MELISSA RENEE TUCKER LPC-MHSP, NCC
701 MED TECH PKWY STE 200
JOHNSON CITY, TN 37604-2371
Phone number: 423-302-3480
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Mailing Address
Mrs. MELISSA RENEE TUCKER LPC-MHSP, NCC
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 37604-2192
Phone number: 423-302-6565
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