Individual
DR. TRACY WADE MARX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMIN, TCADC
Contact information
Practice address
213 MIDLAND BLVD, SHELBYVILLE, KY 40065-7791
(502) 647-0154
(502) 633-4043
Mailing address
10529 WATTERSON TRL APT 4, LOUISVILLE, KY 40299-3792
(502) 819-0628
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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