Individual
TRACY MILLS ECKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LADC
Contact information
Practice address
59 E HILL RD, CANTON, CT 06019-2215
(860) 965-7500
Mailing address
22 CAMILLE LN, CANTON, CT 06019-2040
(860) 965-7500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YA0400X
CT
101YP2500X
Professional Counselor
Primary
101YP2500X
CT
Other
Enumeration date
01/24/2007
Last updated
03/15/2020
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