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NPI Code Detail

MEDICARE: TAYLOR GERTSCH TUCKETT

MEDICARE:   TAYLOR GERTSCH TUCKETT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorBBH-PCLC-LIC-87653MT

General Provider Information

NPI Number : 1891644092
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR GERTSCH TUCKETT
Provider Business Mailing Address
First Line : 1750 RAY OF HOPE LN
Second Line :
City : BILLINGS
State : MT
Zip : 59106-3502
Country : US
Telephone Number : 406-655-2100
Fax Number : 406-651-2802
Provider Business Practice Location Address
First Line : 1750 RAY OF HOPE LN
Second Line :
City : BILLINGS
State : MT
Zip : 59106-3502
Country : US
Telephone Number : 406-655-2100
Fax Number : 406-651-2802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “ TAYLOR GERTSCH TUCKETT ” Practice Location

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