Jonathan Tucker's National Provider Identifier (NPI) Details
Jonathan Tucker, MA, LMFT
NPI: 1992824932
Enumeration Date: 2007-03-29
Last updated: 2024-09-26
Sole Proprietor: YES
Status: active
Postal Address: 113 KESWICK MANOR DR, TYRONE, GA
Phone: 336-404-9590
Primary Practice Address: 15 LAGRANGE ST STE A, NEWNAN, GA
Practice's phone: 678-433-6634