Individual
DANIELLE MARIE TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1000 GALLOPING HILL RD, UNION, NJ 07083-7989
(908) 686-1505
Mailing address
1000 GALLOPING HILL RD, UNION, NJ 07083-7989
(908) 686-1505
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ABA 4 U
HEALTH INSURANCE
NJ
Enumeration date
04/12/2012
Last updated
04/12/2012
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