Individual
MS. JEWELL TAMAR TRAZILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
(785) 239-7924
Mailing address
518 STONEDALE DR, MANHATTAN, KS 66503-0325
(252) 902-7292
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
03046
KS
106H00000X
Marriage & Family Therapist
Primary
1244
NC
Other
Enumeration date
03/28/2007
Last updated
06/09/2022
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