Individual
MS. TRACY ELLEN CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SAP, SSW, CAC, LPC
Contact information
Practice address
103 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1909
(856) 547-5651
(856) 546-9595
Mailing address
103 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1909
(856) 547-5651
(856) 546-9595
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37PC00331500
NJ
101YP2500X
Professional Counselor
Primary
37PC00331500
NJ
Other
Enumeration date
03/05/2009
Last updated
04/09/2018
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