Bryan Tucker

NPI #1982341228 in Marion, Illinois

Provider Information

NPI Number: 1982341228
Entity Type: Individual
Name: Bryan Tucker
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: May 18, 2022
Last Updated: May 18, 2022

Practice Location

Address: 202 S BENTLEY ST
City: Marion
State: Illinois
ZIP Code: 62959-1908
Phone: (855) 608-3560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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