Individual
MR. TRACY DUNLAP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSCSW
Contact information
Practice address
6220 BLUE RIDGE CUT OFF STE 312, RAYTOWN, MO 64133-3730
(816) 591-6266
(816) 313-0764
Mailing address
15812 E 77TH PL, KANSAS CITY, MO 64139-1296
(816) 591-6266
(816) 817-3479
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3242
NE
1041C0700X
Clinical Social Worker
2003028464
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098010
—
KS
01
—
32886013
BCBS OF KC
KS
Enumeration date
06/30/2006
Last updated
02/15/2023
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