Individual
MR. TRACY ALLAN ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
515 ADAMS ST, BAY CITY, MI 48708-5830
(989) 894-2991
Mailing address
903 E FLORENCE ST APT 2, BAY CITY, MI 48706-4896
(989) 714-6710
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
090073
MI
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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