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Organization
TRACY ECKERT LLC
Active
Organization
TRACY ECKERT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY MILLS ECKERT LPC, LADC (OWNER)
(860) 965-7500
Entity
Organization
Contact information
Practice address
50 ALBANY TPKE, SUITE 5036, CANTON, CT 06019-2516
(860) 965-7500
(410) 861-6262
Mailing address
22 CAMILLE LN, CANTON, CT 06019-2040
(860) 965-7500
(410) 861-6262
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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