Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MICHAEL C TUCKER, MS CADC
ActiveAddiction (Substance Use Disorder) Counselor · DIXON, IL
Registration Details
- NPI Number
- 1962524793
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2007 (19.056701122004 yrs)
- Last Updated
- Jul 8, 2007
- License
-
A10440001A (IL)
Practice Information
- Address
-
748 TIMBERCREEK ROADDIXON, IL, 61021Browse IL providers · Browse ZIP 61021
- Phone
- 8152843940
- Fax
- 8152849267
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in DIXON, IL
| Name | Credential | NPI |
|---|---|---|
| KEVIN M BUSS | MFA CRADC | 1750440970 |
| MS. KELLY L BURROW | CADC | 1427117118 |
| MS. MARGARET R DELAFUENTE | B.A. CADC | 1750417473 |
| MRS. HEATHER CHRISTINE HAUSER | — | 1861668519 |
| KRISTEN NICHOLS | MS, QMHP, CADC | 1043529886 |
| MS. ANGELA M AURAND | — | 1861701039 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.