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Kevin Malcolm Tucker
Peer Specialist in Rochester, New York
NPI 1679039838

Kevin Malcolm Tucker is a Peer Specialist based in Rochester, NY. Kevin Malcolm Tucker practices in Rochester, NY. The NPI Number for Kevin Malcolm Tucker is 1679039838 and holds a License No. (New York).

The current practice location address for Kevin Malcolm Tucker is 1 Mustard St, Rochester, NY and can be reached out via phone at 585-256-7500.

Location: 1 Mustard St, Rochester, NY, 14609-6980
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679039838
Provider Name
Kevin Malcolm Tucker
Credential
Provider Entity Type
Individual
Gender
Male
Address
1 Mustard St, Rochester, NY, 14609-6980
Phone Number
585-256-7500
Fax Number
Provider Enumeration Date
02/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Mustard St
City
Rochester
State
New York
Zip
14609-6980
Phone Number
585-256-7500
Fax Number
person
Provider Business Mailing Address Details
Address
1 Mustard St
City
Rochester
State
New York
Zip
14609-6980
Phone Number
585-256-7500
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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