Individual
MRS. TRACY KERR CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1830 S ALMA SCHOOL RD, SUITE 112, MESA, AZ 85210-3056
(480) 730-6222
Mailing address
8613 E BERRIDGE LN, SCOTTSDALE, AZ 85250-5805
(480) 922-5953
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-5131T
AZ
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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