Tucker, Jonathan
Tucker, Jonathan is an sole proprietor health care provider with primary practice located at 1200 S Broad St , Winston Salem NC 27101-5760. He recently has 4 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 / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Tucker, Jonathan can be contacted via phone (336) 813-4606.Contact Information
Primary practice address
1200 S Broad St
Winston Salem NC 27101-5760
Phone: (336) 813-4606
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 1294 | North Carolina |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / School | 101YS0200X |
Profile Details
| NPI number | 1992824932 |
|---|---|
| LBN Legal business name | Tucker, Jonathan |
| Credentials | MA, LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Dec 10th, 2009 - about 15 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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