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Individual
MR. TRACY WAYNE THOMAS
Active
Individual
MR. TRACY WAYNE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S., LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
19851
TX
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
19851
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1762403-01
—
TX
Enumeration date
05/01/2007
Last updated
06/26/2025
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