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TIMOTHY JOHN TUCKER JR. CDCA, AA OF ARTS
NPI 1235614397
Counselor - Addiction (Substance Use Disorder) in Holland, OH

Active since September 25, 2018
350 SOUTH IRWIN ROAD, HOLLAND, OH 43528(567) 703-9064 Get Directions Write a Review

NPPES record last updated: September 25, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timothy John Tucker Jr. Cdca, Aa Of Arts NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY JOHN TUCKER JR. CDCA, AA OF ARTS (NPI 1235614397) is an individual addiction (substance use disorder) provider in Holland, Ohio, licensed in Ohio (CDCA167908) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1235614397
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTIMOTHY JOHN TUCKER JR.Credential: CDCA, AA OF ARTS
Location Address350 SOUTH IRWIN ROADHolland, OH 43528
Mailing Address1111 W College Ave Apt 5tWoodville, OH 43469-1066 · (567) 703-9064
Phone(567) 703-9064
Sole ProprietorNo
Enumeration DateSeptember 25, 2018
✔ NPI 1235614397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA167908
350 SOUTH IRWIN ROAD, Holland, OH 43528
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JUSTIN LINK CDCA
Counselor (Addiction (Substance Use Disorder))
350 SOUTH IRWIN ROAD
HOLLAND, OH 43528
Lucas County (567) 703-9064
TANAYA COLE LPN
Licensed Practical Nurse
350 SOUTH IRWIN ROAD
HOLLAND, OH 43528
Lucas County (567) 703-9064
TANGELA MONIQUE HAYES LPN
Licensed Practical Nurse
350 SOUTH IRWIN ROAD
TOLEDO, OH 43528
Lucas County (567) 703-9064
DAWN CROWDER RN
Registered Nurse (Addiction (Substance Use Disorder))
350 SOUTH IRWIN ROAD
HOLLAND, OH 43528
Lucas County (567) 703-9064
KAMEAH DOMONIQUE HENDERSON LPN
Licensed Practical Nurse
350 SOUTH IRWIN ROAD
HOLLAND, OH 43528
Lucas County (567) 703-9064
ADAM CAUDY CDCA
Counselor (Addiction (Substance Use Disorder))
350 SOUTH IRWIN ROAD
HOLLAND, OH 43528
Lucas County (419) 222-4474
THERESA WRONKER LPN
Licensed Practical Nurse
350 SOUTH IRWIN ROAD
HOLLAND, OH 43528
Lucas County (567) 703-9064
LORRINDA ELIZA ANDERSON
Counselor (Addiction (Substance Use Disorder))
350 SOUTH IRWIN ROAD, JOSHUA TREATMENT CENTER
HOLLAND, OH 43528
Lucas County (567) 703-9064

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Tucker's NPI number?

The NPI number for Timothy Tucker is 1235614397. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Where is Timothy Tucker located?

Timothy Tucker practices at 350 South Irwin Road, Holland, OH 43528. The listed phone number is (567) 703-9064.

What is Timothy Tucker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Timothy Tucker was last updated on September 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.