Individual
TRACI RENEE MANRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15396 N 83RD AVE STE G103, PEORIA, AZ 85381-5629
(925) 709-4044
(925) 709-4044
Mailing address
15396 N 83RD AVE STE G103, PEORIA, AZ 85381-5629
(925) 709-4044
(480) 247-4179
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LAC-17108
AZ
101YP2500X
Professional Counselor
Primary
LPC19276
—
Other
Enumeration date
08/29/2020
Last updated
05/01/2023
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