person
Gerald Lewis Tucker
Addiction (Substance Use Disorder) Counselor in Tyler, Texas
NPI 1972792141

Gerald Lewis Tucker is an Addiction (Substance Use Disorder) Counselor based in Tyler, TX and is specialized in Addiction (Substance Use Disorder). Gerald Lewis Tucker practices in Tyler, TX. The NPI Number for Gerald Lewis Tucker is 1972792141 and holds a License No. 5066 (Texas).

The current practice location address for Gerald Lewis Tucker is 402 Ulster Dr, Tyler, TX and can be reached out via phone at 903-839-7405.

Location: 402 Ulster Dr, Tyler, TX, 75703-5347
person
Provider Profile Details
NPI Number
1972792141
Provider Name
Gerald Lewis Tucker
Credential
Provider Entity Type
Individual
Gender
Male
Address
402 Ulster Dr, Tyler, TX, 75703-5347
Phone Number
903-839-7405
Fax Number
Provider Enumeration Date
10/23/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
402 Ulster Dr
City
State
Zip
75703-5347
Phone Number
903-839-7405
Fax Number
person
Provider Business Mailing Address Details
Address
402 Ulster Dr
City
State
Zip
75703-5347
Phone Number
903-839-7405
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
5066 (Texas)
Definition
Definition to come...
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