person
Kimberly Tucker
Mental Health Counselor in Lexington, Massachusetts
NPI 1952859647

Kimberly Tucker is a Mental Health Counselor based in Lexington, MA and is specialized in Mental Health. Kimberly Tucker practices in Lexington, MA. The NPI Number for Kimberly Tucker is 1952859647 and holds a License No. (Massachusetts).

The current practice location address for Kimberly Tucker is 1040 Waltham St, Lexington, MA and can be reached out via phone at 781-761-5148 and via fax at 781-860-0589.

Location: 1040 Waltham St, Lexington, MA, 02421-8033
person
Provider Profile Details
NPI Number
1952859647
Provider Name
Kimberly Tucker
Credential
Provider Entity Type
Individual
Gender
Female
Address
1040 Waltham St, Lexington, MA, 02421-8033
Phone Number
781-761-5148
Fax Number
781-860-0589
Provider Enumeration Date
09/12/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000023532 01 MA BMC
042611055 01 MA TAX ID
99618201 01 MA NETWORK HEALTH
1303287 05 MA
M18633 01 MA BCBS
1004745 01 MA NHP
1303287 01 MA MBHP
institution
Provider Business Practice Location Address Details
Address
1040 Waltham St
City
State
Zip
02421-8033
Phone Number
781-761-5148
Fax Number
781-860-0589
person
Provider Business Mailing Address Details
Address
1040 Waltham St
City
State
Zip
02421-8033
Phone Number
781-761-5148
Fax Number
781-860-0589
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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