Tucker, Carolyn Jean

Tucker, Carolyn Jean is an sole proprietor health care provider with primary practice located at 17 Pacific St , St Augustine FL 32084-2753. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Tucker, Carolyn Jean can be contacted via phone (904) 501-5771.

Contact Information

Primary practice address
17 Pacific St St Augustine FL 32084-2753
Phone: (904) 501-5771
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH5404 Florida
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MT1868 Florida

Profile Details

NPI number 1083820088
LBN Legal business name Tucker, Carolyn Jean
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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