TIMOTHY JOHN TUCKER

HOLLAND, OH
NPI1235614397
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA167908)
Enumeration Date2018-09-25
Last Update Date2018-09-25
Business Address
TIMOTHY JOHN TUCKER CDCA, AA of Arts
350 SOUTH IRWIN ROAD
HOLLAND, OH 43528
Phone number: 567-703-9064
Mailing Address
TIMOTHY JOHN TUCKER CDCA, AA of Arts
1111 W COLLEGE AVE APT 5T
WOODVILLE, OH 43469-1066
Phone number: 567-703-9064
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