Individual
MRS. TRACY LYNN APA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,NCC,LPC
Contact information
Practice address
3771 LONGVIEW RD, HERMITAGE, PA 16148-6128
(724) 346-3190
Mailing address
3771 LONGVIEW RD, HERMITAGE, PA 16148-6128
(724) 346-3190
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC005280
PA
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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