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Individual
MS. TRACEY R YORK
Active
Individual
MS. TRACEY R YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CACII
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1317
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
PC007191
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103427639
—
PA
Enumeration date
12/04/2007
Last updated
06/24/2019
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