Individual
TRACEY LYNN IZZARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LICDC
Contact information
Practice address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 225-0980
Mailing address
16 W LONG ST, COLUMBUS, OH 43215-2815
(614) 225-0980
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
976196
OH
101Y00000X
Counselor
E-3067
OH
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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