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Individual
MR. TRACY CORPENING JR.
Active
Individual
MR. TRACY CORPENING JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710103900
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CACII1369
DC
101YP2500X
Professional Counselor
Primary
0701011311
VA
101YP2500X
Professional Counselor
PRC15137
DC
Other
Enumeration date
01/03/2019
Last updated
12/15/2024
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