Individual
TRACY NASSAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC/MHSP
Contact information
Practice address
215 HAWKS RD, SUITE 5, MARTIN, TN 38237-2708
(731) 571-2541
Mailing address
215 HAWKS RD, SUITE 5, MARTIN, TN 38237-2708
(731) 571-2541
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1522799
—
TN
Enumeration date
02/12/2007
Last updated
08/03/2011
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