Individual
TRACY Y HABACIVCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2493 IMPALA DR, RONKS, PA 17572-9626
(717) 572-2331
Mailing address
2493 IMPALA DR, RONKS, PA 17572-9626
(717) 572-2331
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC001397
PA
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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