Individual
NICOLE TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4320 DIPLOMACY DR STE 1500, ANCHORAGE, AK 99508-5925
(907) 729-4203
Mailing address
5901 E 6TH AVE SPC 157, ANCHORAGE, AK 99504-4861
(907) 729-4203
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
829
AK
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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