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Individual
MS. VICTORIA ANN TRACY
Active
Individual
MS. VICTORIA ANN TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
665
NE
101YM0800X
Mental Health Counselor
3379
NE
101YM0800X
Mental Health Counselor
Primary
918
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025208600
—
NE
05
—
47052851507
—
NE
01
—
85114
BCBS
NE
Enumeration date
11/27/2008
Last updated
07/02/2016
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