Michon Tucker | |
10615 Perrin Beitel Rd Ste 400 San Antonio TX 78217-3141 | |
(210) 710-8087 | |
(877) 475-2397 |
Full Name | Michon Tucker |
---|---|
Speciality | Counselor |
Location | 10615 Perrin Beitel Rd Ste 400, San Antonio, Texas |
Authorized Official Name and Position | Michon Tucker (LPC-S) |
Authorized Official Contact | 2107108087 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Michon Tucker 10615 Perrin Beitel Rd Ste 400 San Antonio TX 78217-3141 Ph: (210) 710-8087 | Michon Tucker 10615 Perrin Beitel Rd Ste 400 San Antonio TX 78217-3141 Ph: (210) 710-8087 |
NPI Number | 1912760430 |
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Provider Enumeration Date | 02/06/2024 |
Last Update Date | 02/06/2024 |
Certification Date | 02/06/2024 |
Medicare PECOS PAC ID | 0941640437 |
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Medicare Enrollment ID | O20240501001273 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912760430 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Provider Name | Michon Tucker |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1346393071 PECOS PAC ID: 2163862673 Enrollment ID: I20240501002415 |
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